| Watsons Family Medical Clinic | |
|
1418 Mccoy Dr Harrison AR 72601-2411 | |
| (870) 208-1037 | |
| (870) 391-2299 |
| Full Name | Watsons Family Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1418 Mccoy Dr, Harrison, Arkansas |
| Authorized Official Name and Position | Fanae Watson (OWNER/PROVIDER) |
| Authorized Official Contact | 8702801037 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Watsons Family Medical Clinic 1418 Mccoy Dr Harrison AR 72601-2411 Ph: (870) 280-1037 | Watsons Family Medical Clinic 1418 Mccoy Dr Harrison AR 72601-2411 Ph: (870) 208-1037 |
| NPI Number | 1790341303 |
|---|---|
| Provider Enumeration Date | 05/20/2019 |
| Last Update Date | 10/25/2022 |
| Medicare PECOS PAC ID | 5991139081 |
|---|---|
| Medicare Enrollment ID | O20191226000037 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790341303 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Fanae F Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417315318 PECOS PAC ID: 2860791860 Enrollment ID: I20191226000106 |
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