RANDOLPH J. POTTS

TEMPLE, TX
NPI1447213095
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TX  253726)
Enumeration Date2006-04-06
Last Update Date2007-07-10
Business Address
-- RANDOLPH J. POTTS
2401 S 31ST ST
TEMPLE, TX 76508-0001
Phone number: 254-724-2111
Mailing Address
-- RANDOLPH J. POTTS
PO BOX 847556
DALLAS, TX 75284-7556
Phone number: 254-724-2111