Individual
DR. RYAN NELSON POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3201 AIRLINE RD STE K, CORPUS CHRISTI, TX 78414-3571
(361) 882-4452
(361) 882-5414
Mailing address
3201 AIRLINE RD STE K, CORPUS CHRISTI, TX 78414-3571
(361) 882-4452
(361) 882-5414
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
K0544
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101724602
—
TX
Enumeration date
07/17/2006
Last updated
03/16/2022
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