Provider Demographics
NPI:1104147693
Name:DAVE WATSON & ASSOCIATES LLC
Entity type:Organization
Organization Name:DAVE WATSON & ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVE
Authorized Official - Middle Name:
Authorized Official - Last Name:WATSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:682-472-2367
Mailing Address - Street 1:1309 RIDGE RD STE 200
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75087-4219
Mailing Address - Country:US
Mailing Address - Phone:682-472-2367
Mailing Address - Fax:888-311-7920
Practice Address - Street 1:1309 RIDGE RD
Practice Address - Street 2:STE 200
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75087-4206
Practice Address - Country:US
Practice Address - Phone:682-472-2367
Practice Address - Fax:888-311-7920
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-18
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251X00000XAgenciesSupports Brokerage
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No172V00000XOther Service ProvidersCommunity Health WorkerGroup - Multi-Specialty
No251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health