Individual
DR. JAMES D. POETTCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1604 HOSPITAL PARKWAY, #505, BEDFORD, TX 76022
(817) 267-2678
(817) 354-0854
Mailing address
1604 HOSPITAL PARKWAY, #505, BEDFORD, TX 76022
(817) 267-2678
(817) 354-0854
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
CERT28481, LICE8821
TX
208600000X
Surgery Physician
Primary
E8821
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120391101
—
TX
01
—
E8821
STATE ID #
TN
Enumeration date
05/19/2006
Last updated
08/04/2010
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