Individual
CHARLES POTEET JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2600 SAINT MICHAEL DR, TEXARKANA, TX 75503-2372
(903) 614-1000
Mailing address
3 NORTHRIDGE CIR, TEXARKANA, TX 75503-1807
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
J5868
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1238836201
—
TX
Enumeration date
06/23/2006
Last updated
07/08/2007
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