Provider Demographics
NPI:1063065043
Name:KRISTI WATSON MDPC
Entity type:Organization
Organization Name:KRISTI WATSON MDPC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ANESTHESIOLOGISTS
Authorized Official - Prefix:
Authorized Official - First Name:KRISTI
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:WATSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:520-603-8232
Mailing Address - Street 1:3910 E CORTE DE LA GRANJA
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85718-7408
Mailing Address - Country:US
Mailing Address - Phone:529-603-8232
Mailing Address - Fax:
Practice Address - Street 1:HODGES EYE CARE AND SURGICAL LOCATION
Practice Address - Street 2:1502 N. TUCSON BLVD
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85716
Practice Address - Country:US
Practice Address - Phone:520-326-4321
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-19
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical