| Doctor Name: | DR. TERRY RUFF WATSON |
| NPI Number: | 1720076847 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DO |
| License Number: | F3376 |
| Business Practice Address: | 3618 Fairmount St Dallas, TX - 752194709 |
| Business Phone Number: | 2145207200 |
| Business Fax Number: | 2145593053 |
| Mailing Address: | 3618 Fairmount St, DALLAS |
| State: | TX |
| Postal Code: | 752194709 |
| Phone Number: | 2145207200 |
| Fax Number: | 2145593053 |
| NPI Enumeration Date: | 10/12/2005 |
| NPI Last Update Date: | 11/25/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | F3376 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |