Individual
DR. ALLEN R POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8401 DATAPOINT DR, SUITE 500, SAN ANTONIO, TX 78229-5907
(210) 614-0180
(210) 615-7170
Mailing address
8401 DATAPOINT DR, SUITE 500, SAN ANTONIO, TX 78229-5907
(210) 614-0180
(210) 615-7170
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
H6920
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131701805
—
TX
05
—
131701807
—
TX
05
—
134962307
—
TX
01
—
89X602
BCBS
TX
Enumeration date
07/26/2006
Last updated
03/10/2011
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