Doctor Name: | MR. MICHAEL JOHN POTOSKY |
NPI Number: | 1538576657 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | FNP-BC |
License Number: | 711350 |
Business Practice Address: | 1119 Elmgrove Park Ln Seabrook, TX - 775864141 |
Business Phone Number: | 2819953162 |
Business Fax Number: | |
Mailing Address: | 1119 Elmgrove Park Ln, SEABROOK |
State: | TX |
Postal Code: | 775864141 |
Phone Number: | 2819953162 |
Fax Number: | |
NPI Enumeration Date: | 07/21/2014 |
NPI Last Update Date: | 07/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 146L00000X |
License Number: | 711350 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Emergency Medical Service Providers |
Taxonomy Classification: | Emergency Medical Technician, Paramedic |
Taxonomy Specialization: | |
Taxonomy Definition: | An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards. |