Individual
CHERYL POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1400 PRESSLER ST, UNIT 1461, HOUSTON, TX 77030-3722
(713) 563-9342
(713) 792-2586
Mailing address
1400 PRESSLER STREET, UNIT 1461, HOUSTON, TX 77030-3722
(713) 563-9342
(713) 792-2586
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA05720
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210123001
—
TX
Enumeration date
07/16/2009
Last updated
06/01/2010
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