Individual
DR. REBECCA R PORRAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3705 MEDICAL PKWY, SUITE 570, AUSTIN, TX 78705-1019
(512) 454-2454
(512) 454-1532
Mailing address
3705 MEDICAL PKWY, SUITE 570, AUSTIN, TX 78705-1019
(512) 454-2454
(512) 454-1532
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
J7835
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105505501
—
TX
01
—
87934J
BC/BS
TX
Enumeration date
11/10/2005
Last updated
11/01/2007
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