Individual
ELISABETH H. POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6818 AUSTIN CENTER BLVD, SUITE 204, AUSTIN, TX 78731-3158
(512) 867-6211
(512) 561-0858
Mailing address
1101 W 34TH ST, SUITE 321, AUSTIN, TX 78705-1907
(512) 867-6211
(512) 561-0858
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
P7331
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
327193401
—
TX
05
—
327193402
—
TX
Enumeration date
10/11/2007
Last updated
01/24/2017
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