Potter, Elisabeth H.

Potter, Elisabeth H. is an individual health care provider with primary practice located at 6818 Austin Center Blvd Suite 204, Austin TX 78731-3158. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as her primary health care specialty. Potter, Elisabeth H. can be contacted via phone (512) 867-6211.

Contact Information

Primary practice address
6818 Austin Center Blvd Suite 204 Austin TX 78731-3158
Phone: (512) 867-6211
Fax: (512) 561-0858
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X P7331 Texas

Profile Details

NPI number 1346438603
LBN Legal business name Potter, Elisabeth H.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2007
Last updated Jan 24th, 2017 - about 8 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 1346438603 NPPES
Texas MEDICAID 327193402
Texas MEDICAID 327193401

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