| Organization Name: | POTENTIAL SERVICES PLLC |
| NPI Number: | 1124273222 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JEFF BRADFORD PHELPS (PRESIDENT) |
| Mailing Address: | 8801 North Tarrant Parkway North Richland Hills |
| State: | TX US |
| Postal Code: | 79182 |
| Phone Number: | 8179964661 |
| Fax Number: | 8663665096 |
| NPI Enumeration Date: | 11/18/2008 |
| NPI Last Update Date: | 02/14/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
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Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204C00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Neuromusculoskeletal Medicine, Sports Medicine |
| Taxonomy Specialization: | |
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