Potts, Gina Marie

Potts, Gina Marie is an individual health care provider with primary practice located at 6750 N Macarthur Blvd Building 2, Suite 150, Irving TX 75039-2420. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Potts, Gina Marie can be contacted via phone (972) 373-0303.

Contact Information

Primary practice address
6750 N Macarthur Blvd Building 2, Suite 150 Irving TX 75039-2420
Fax: (972) 373-8074
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X K7226 Texas

Profile Details

NPI number 1588602908
LBN Legal business name Potts, Gina Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2006
Last updated Aug 1st, 2014 - about 10 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 1588602908 NPPES
Texas MEDICAID 041915203
Texas MEDICAID 041915204

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