Fong Potts, Doris

Fong Potts, Doris is an individual health care provider with primary practice located at 1102 Winkler Ave , Killeen TX 76542-6249. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Fong Potts, Doris can be contacted via phone (254) 634-8505.

Contact Information

Primary practice address
1102 Winkler Ave Killeen TX 76542-6249
Phone: (254) 634-8505
Fax: (254) 781-4312
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X 2717 Arkansas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X 1207819 Texas

Profile Details

NPI number 1578782843
LBN Legal business name Fong Potts, Doris
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2007
Last updated Sep 11th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578782843 NPPES
Texas MEDICAID 283205701
Texas Other 56132
Texas MEDICAID 152928721

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