Doctor Name: | DR. HILARY STEPHEN WATSON |
NPI Number: | 1083782965 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 10774R |
Business Practice Address: | 1665 Dove Park Rd Suite 700 Mandeville, LA - 704711919 |
Business Phone Number: | 9853455500 |
Business Fax Number: | |
Mailing Address: | Po Box 2932, HAMMOND |
State: | LA |
Postal Code: | 704042932 |
Phone Number: | 9853455500 |
Fax Number: | 9853455555 |
NPI Enumeration Date: | 12/01/2006 |
NPI Last Update Date: | 05/13/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 10774R |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |