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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GLEN LEE WATKINS, M.D.

Active Sole Proprietor

Otolaryngology · BOSSIER CITY, LA

Registration Details

NPI Number
1124023874
Provider Type
Individual
Gender
Male
NPI Issued
Jun 19, 2005 (20.842350081756 yrs)
Last Updated
Dec 7, 2020
Licenses
ME98502 (FL)
050489 (GA)
205062 (LA)
Sole Proprietor
Yes

Practice Information

Address
1000 CHINABERRY DR STE 1103
BOSSIER CITY, LA, 711112463
Browse LA providers · Browse ZIP 71111
Phone
3187161111
Fax
3187161112
Primary Specialty
Otolaryngology
207Y00000X
Additional Specialty
Otolaryngology
Additional Specialty
Otolaryngology

Other Otolaryngology Providers in BOSSIER CITY, LA

Name Credential NPI
CHANDRAKANT M JOSHI 1750340733
DR. ROY MURL FLENIKEN M.D. 1306805775
DR. GILBERT KEITH CHRISTY MD 1396779641
KEVIN A. MOORE MD 1932595154
JOHN P LAVO MD 1851787071
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.