Individual
FRED POTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1710 E SAUNDERS ST, SUITE 384, LAREDO, TX 78041-5443
(956) 523-8875
(956) 523-8689
Mailing address
PO BOX 659506, SAN ANTONIO, TX 78265-9506
(956) 523-8875
(956) 523-8689
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
E8825
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123616805
—
TX
Enumeration date
11/10/2006
Last updated
07/08/2007
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