IndividualActive
Adam Watters, CRNA
NPI 1710130315 · Certified Registered Nurse Anesthetist · Tyler, TX
Provider details
- NPI number
- 1710130315
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- License
- 652485 (TX)
Mailing address
800 E Dawson St
Tyler, TX 75701-2036
Registry dates
- Enumerated
- 2008-10-28
- Last updated
- 2022-05-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.