# POTENTIAL SERVICES PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124273222
- **Authorized official:** JEFF BRADFORD PHELPS MD (PRESIDENT)
- **Authorized official phone:** (817) 996-4661

## Contact information

- **Practice address:** 8801 NORTH TARRANT PARKWAY, NORTH RICHLAND HILLS, TX 79182
- **Practice address phone:** (817) 996-4661
- **Practice address fax:** (866) 366-5096
- **Mailing address:** PO BOX 822635, NORTH RICHLAND HILLS, TX 76812
- **Mailing address phone:** (817) 996-4661
- **Mailing address fax:** (866) 366-5096

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204C00000X | Sports Medicine (Neuromusculoskeletal Medicine) Physician | — | NULL | Yes |
| 204C00000X | Sports Medicine (Neuromusculoskeletal Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/18/2008
- **Last updated:** 02/14/2014