Provider Demographics
NPI:1942526678
Name:WATKINS, MCCALL LAREN (LPN, LMT)
Entity type:Individual
Prefix:
First Name:MCCALL
Middle Name:LAREN
Last Name:WATKINS
Suffix:
Gender:F
Credentials:LPN, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UPS STORE EUDAIMONIA MC L
Mailing Address - Street 2:111 E. UNIVERSITY DR. STE 105 PMB 208
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76209-4264
Mailing Address - Country:US
Mailing Address - Phone:817-818-8188
Mailing Address - Fax:
Practice Address - Street 1:400 N LOOP 288 STE 112
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76209-4809
Practice Address - Country:US
Practice Address - Phone:817-822-5649
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-20
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT138338225700000X
TX3118283747P1801X, 164W00000X, 374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No164W00000XNursing Service ProvidersLicensed Practical Nurse
No374U00000XNursing Service Related ProvidersHome Health Aide