IndividualActive
Glen Watkins, M.D.
NPI 1124023874 · Otolaryngology Physician · Bossier City, LA
Provider details
- NPI number
- 1124023874
- Entity type
- Individual
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- ME98502 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1000 Chinaberry Dr Ste 1103
Bossier City, LA 71111-2463
Phone: (318) 716-1111
Fax: (318) 716-1112
Approximate (ZIP-level) locationGet directions
Mailing address
1000 Chinaberry Dr Ste 1103
Bossier City, LA 71111-2463
Registry dates
- Enumerated
- 2005-06-19
- Last updated
- 2020-12-07
- Certified
- 2020-12-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.