| Dr Ian Talbert Watson, MD | |
|
605 Enterprise Dr Ste C, Houma, LA 70360-5405 | |
| (985) 360-3755 | |
| (504) 962-6111 |
| Full Name | Dr Ian Talbert Watson |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Location | 605 Enterprise Dr Ste C, Houma, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689134900 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 328264 (Louisiana) | Primary |
| Entity Name | Life Coast Community Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073157970 PECOS PAC ID: 3870929193 Enrollment ID: O20200205001617 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ian Talbert Watson, MD 1990 Industrial Blvd, Houma, LA 70363-7055 Ph: (858) 735-1309 | Dr Ian Talbert Watson, MD 605 Enterprise Dr Ste C, Houma, LA 70360-5405 Ph: (985) 360-3755 |
Mr. William J Wilder, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 12 Professional Drive, Houma, LA 70360 Phone: 985-868-1810 Fax: 985-876-3670 | |
Dr. Kristal Bourgeois Guidroz, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 327 Bayou Gardens Blvd, Houma, LA 70364 Phone: 985-876-5000 Fax: 985-876-5280 | |
Dr. Tamela L Charbonnet, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 327 Bayou Gardens Blvd, Houma, LA 70364 Phone: 985-876-5000 Fax: 985-876-5280 | |
Mr. Fernando E Palomeque, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 12 Professional Drive, Houma, LA 70360 Phone: 985-868-1810 Fax: 985-876-3670 | |
Dr. Philip Mark Neal, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 12 Professional Dr, Houma, LA 70360 Phone: 985-868-1810 | |
Dr. Lee Hoye Grafton, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 327 Bayou Gardens Blvd, Houma, LA 70364 Phone: 985-876-5000 Fax: 985-976-5280 |