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Organization

VERNICKA D. PORTER-SALES, DO, PA

Active
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Organization

VERNICKA D. PORTER-SALES, DO, PA

Active
Other names
Kidz 1st Pediatrics
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VERNICKA DASHAWN PORTER-SALES DO (OWNER/PEDIATRICIAN)
(409) 899-5439
Entity
Organization

Contact information

Practice address
11398 BANDERA RD, SUITE 201, SAN ANTONIO, TX 78250-6840
(210) 543-7334
(210) 543-7338
Mailing address
17634 BEAR RIVER LN, HUMBLE, TX 77346-1558
(409) 782-2434
(218) 812-2408

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
L4650
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
152342501
TX
Enumeration date
01/07/2009
Last updated
09/04/2013
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