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Organization
STEPHANIE A PORTER
Active
Organization
STEPHANIE A PORTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE ANN PORTER M.D. (PEDIATRICIAN)
(940) 676-6777
Entity
Organization
Contact information
Practice address
149 HART ST, SHEPPARD AFB, TX 76311-3477
(940) 676-6777
(940) 676-2706
Mailing address
149 HART ST, SHEPPARD AFB, TX 76311-3477
(940) 642-6231
(940) 676-2706
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
L3841
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60135092
DPS - TX
TX
Enumeration date
01/17/2006
Last updated
03/07/2023
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