Doris Fong Potts is a Pediatrics in Killeen, Texas. Doris Fong Potts practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Doris Fong Potts is 1578782843. The last update date is 2017-09-11.
Doris Fong Potts's current location address is 605 Donnie Ave, Killeen, Texas. You can contact this provider via phone number 2546348505 and fax number 2547814312. The mailing address for Doris Fong Potts is 605 Donnie Ave, Killeen, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Doris Fong Potts |
|---|---|
| Address | 605 Donnie Ave, Killeen, Texas |
| Phone Number | 2546348505 |
| Fax Number | 2547814312 |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1578782843 |
|---|---|
| Provider Enumeration Date | 2007-04-25 |
| Last Updated Date | 2017-09-11 |
Provider Mailing Address Detail
| Address | 605 Donnie Ave |
|---|---|
| City | Killeen |
| State | Texas (TX) |
| Post Code | 765418918 |
| Phone Number | 2546348505 |
| Fax Number | 2547814312 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
| Licence No | 2717 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 283205701 | TX | -- | |
| 56132 | AR | BLUE CROSS BLUE SHIELD | |
| 152928721 | AR | -- |
Post Comment/ Review Below
What is the Doris Fong Potts's unique identification number?
The Doris Fong Potts has been assigned the NPI (National Provider Identifier) Number 1578782843 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Doris Fong Potts's facilities are situated?
The facilities of Doris Fong Potts are physically located at the following address: 605 Donnie Ave, Killeen, TX, 765418918.
What is the Doris Fong Potts's specialty and taxonomy code?
The Doris Fong Potts's specialty is Pediatrics, and the corresponding taxonomy code is 2251P0200X.
On what date did the Doris Fong Potts receive the assignment of its 1578782843 from the Centers for Medicare & Medicaid Services?
The Doris Fong Potts was issued its 1578782843 by the Centers for Medicare & Medicaid Services on 2007-04-25.
When was the information regarding Doris Fong Potts most recently updated?
The details pertaining to the Doris Fong Potts, including its address, specialty, and other relevant information, were last refreshed on 2017-09-11.