Organization
POTENTIAL SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF BRADFORD PHELPS MD (PRESIDENT)
(817) 996-4661
Entity
Organization
Contact information
Practice address
8801 NORTH TARRANT PARKWAY, NORTH RICHLAND HILLS, TX 79182
(817) 996-4661
(866) 366-5096
Mailing address
PO BOX 822635, NORTH RICHLAND HILLS, TX 76812
(817) 996-4661
(866) 366-5096
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
—
—
Other
Enumeration date
11/18/2008
Last updated
02/14/2014
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