Individual
ADRIANA POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1809 PRECINCT LINE RD, HURST, TX 76054-3132
(817) 479-7019
(817) 479-7238
Mailing address
374 GRAHAM DR, COPPELL, TX 75019-7504
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
110370
TX
Other
Enumeration date
09/06/2017
Last updated
09/06/2017
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