Organization
POTENTIAL MEDICAL SERVICES, LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT GRAVES (PRESIDENT,OWNER)
(469) 698-8500
Entity
Organization
Contact information
Practice address
519 E I30, SUITE 308, ROCKWALL, TX 75087-5408
(469) 698-8500
(469) 698-8504
Mailing address
519 E INTERSTATE 30, SUITE 308, ROCKWALL, TX 75087-5408
(469) 698-8500
(469) 698-8504
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
06/07/2007
Last updated
02/08/2008
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