Provider Demographics
NPI:1942096136
Name:WATSON, GREGORY CHARLES (CRNA)
Entity type:Individual
Prefix:
First Name:GREGORY
Middle Name:CHARLES
Last Name:WATSON
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7009 ALMEDA RD APT 219
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-2176
Mailing Address - Country:US
Mailing Address - Phone:352-453-7647
Mailing Address - Fax:
Practice Address - Street 1:7009 ALMEDA RD APT 219
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2176
Practice Address - Country:US
Practice Address - Phone:352-453-7647
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-16
Last Update Date:2025-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX153997367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered