# POTOMAC HEALTH OF TEXAS PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** POTOMAC HEALTH PC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1922717529
- **Legal business name:** POTOMAC HEALTH PC
- **Authorized official:** JAY A KIMMEL (CHIEF MEDICAL OFFICER)
- **Authorized official phone:** (860) 728-6740

## Contact information

- **Practice address:** 1177 HIGH RIDGE RD, STAMFORD, CT 06905-1221
- **Practice address phone:** (201) 834-4786
- **Mailing address:** 1177 HIGH RIDGE RD, STAMFORD, CT 06905-1221
- **Mailing address phone:** (201) 834-4786

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/22/2022
- **Last updated:** 11/22/2022