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Austin Potter

Emergency Medicine in Austin, TX. Individual provider (NPI-1).

NPI number1124477948
StatusActive
Last updated in NPPESSep 26, 2020

Details

NPI
1124477948
Entity type
Individual (NPI-1)
Name
Austin Potter
Sex
Male
Sole proprietor
No
Enumeration date
Jun 13, 2016
Certification date
Sep 26, 2020
Last updated
Sep 26, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency MedicineR7856TXYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

1400 North St # I-35
Suite C2.230
Austin, TX 78756

Phone 512-324-8221

Mailing address

1400 North St # I-35
Suite C2.230
Austin, TX 78756-2620

Phone 512-324-8221

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