Provider Demographics
NPI:1487062840
Name:WATSON, JEWZONIA LEE (MT144266)
Entity type:Individual
Prefix:
First Name:JEWZONIA
Middle Name:LEE
Last Name:WATSON
Suffix:
Gender:F
Credentials:MT144266
Other - Prefix:
Other - First Name:JEWZONIA
Other - Middle Name:LEE
Other - Last Name:WATSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MT
Mailing Address - Street 1:3505 N WARE RD STE E
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-3370
Mailing Address - Country:US
Mailing Address - Phone:956-295-6137
Mailing Address - Fax:956-331-8066
Practice Address - Street 1:3505 N WARE RD STE E
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-3370
Practice Address - Country:US
Practice Address - Phone:956-295-6137
Practice Address - Fax:956-331-8066
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-30
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60464307225700000X
TXMT144266225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist