Provider Demographics
NPI:1538021142
Name:WATKINS, HAROLD DOUGLAS JR
Entity type:Individual
Prefix:
First Name:HAROLD
Middle Name:DOUGLAS
Last Name:WATKINS
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3700 S SHIELDS BLVD
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73129-2852
Mailing Address - Country:US
Mailing Address - Phone:405-632-2027
Mailing Address - Fax:
Practice Address - Street 1:3700 S SHIELDS BLVD
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73129-2852
Practice Address - Country:US
Practice Address - Phone:405-632-2027
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-12-02
Last Update Date:2025-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)