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Organization
R. WAYNE PORTER, M.D., P.A.
Active
Organization
R. WAYNE PORTER, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. R. WAYNE PORTER M.D. (PRESIDENT)
(972) 563-6700
Entity
Organization
Contact information
Practice address
303 E COLLEGE ST STE A, TERRELL, TX 75160-2700
(972) 563-6700
(972) 563-6656
Mailing address
303 E COLLEGE ST STE A, TERRELL, TX 75160-2700
(972) 563-6700
(972) 563-6656
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H2162
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R09A
BCBS
TX
Enumeration date
08/30/2007
Last updated
12/11/2007
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