Individual
ASHLEY MARIE POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1205 AVONDALE HASLET RD STE 100, HASLET, TX 76052
(817) 766-4001
(817) 766-4008
Mailing address
6161 N HWY 161, CREDENTIALING DEPARTMENT, IRVING, TX 75038-2220
(972) 953-2439
(972) 870-4915
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA11630
TX
Other
Enumeration date
11/12/2008
Last updated
11/01/2018
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