Provider Demographics
NPI:1912142043
Name:WATSON, DONNA LEE
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:LEE
Last Name:WATSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 W 20TH ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-2436
Mailing Address - Country:US
Mailing Address - Phone:713-863-0114
Mailing Address - Fax:713-863-1653
Practice Address - Street 1:325 W 20TH ST
Practice Address - Street 2:SUITE 100
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-2436
Practice Address - Country:US
Practice Address - Phone:713-863-0114
Practice Address - Fax:713-863-1653
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-03
Last Update Date:2008-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80261237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist