Individual
MR. MICHAEL JOHN POTOSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
126 W SAN AUGUSTINE ST, DEER PARK, TX 77536-4024
(832) 773-8150
Mailing address
126 W SAN AUGUSTINE ST, DEER PARK, TX 77536-4024
(832) 773-8150
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN99248
NV
163WE0003X
Emergency Registered Nurse
762810
TX
363LF0000X
Family Nurse Practitioner
APRN002952
NV
363LX0106X
Occupational Health Nurse Practitioner
Primary
AP125605
TX
363LX0106X
Occupational Health Nurse Practitioner
APRN002952
NV
Other
Enumeration date
07/21/2014
Last updated
08/10/2022
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