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Individual

DR. JOEL POTASZNIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4355 INTERSTATE 30, SUITE #101, MESQUITE, TX 75150-2035
(214) 328-6000
(214) 328-1260
Mailing address
4355 INTERSTATE 30, SUITE #101, MESQUITE, TX 75150-2035
(214) 328-6000
(214) 328-1260

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
E1233
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
098148201
TX
Enumeration date
08/10/2006
Last updated
02/06/2008
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