Potter, Allen R

Potter, Allen R is an individual health care provider with primary practice located at 8401 Datapoint Dr Suite 500, San Antonio TX 78229-5907. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as his primary health care specialty. Potter, Allen R can be contacted via phone (210) 614-0180.

Contact Information

Primary practice address
8401 Datapoint Dr Suite 500 San Antonio TX 78229-5907
Phone: (210) 614-0180
Fax: (210) 615-7170
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X H6920 Texas

Profile Details

NPI number 1316961402
LBN Legal business name Potter, Allen R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Mar 10th, 2011 - about 13 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 1316961402 NPPES
Texas MEDICAID 131701807
Texas MEDICAID 134962307
Texas MEDICAID 131701805
Texas Other 89X602

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