Individual
DR. JEFFERY BRENT POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
444 HOLDERRIETH BLVD STE 4, TOMBALL, TX 77375-4553
(832) 698-2561
(832) 698-2561
Mailing address
444 HOLDERRIETH BLVD STE 4, TOMBALL, TX 77375-4553
(832) 698-2561
(832) 698-2561
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
9837
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1045376
BCBSTX BLUE LINK ACCESS C
TX
01
—
3721239
AETNA PROVIDER NUMBER
TX
01
—
608091
BCBSTX PARPLAN PROVIDER #
TX
01
—
H060809101
BCBSTX PROVIDER NUMBER
TX
Enumeration date
01/19/2007
Last updated
11/15/2018
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