Individual
SUSAN CALISTA POTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1002 AVENUE A, KATY, TX 77493-2462
(832) 437-5876
Mailing address
1002 AVENUE A, KATY, TX 77493-2462
(832) 437-5876
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
1020709
TX
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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