Individual
MR. TONY J PORRATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSA
Contact information
Practice address
2708 MAPLE BROOK CT, BEDFORD, TX 76021-7212
(214) 227-2457
(214) 764-0880
Mailing address
PO BOX 938, ROWLETT, TX 75030-0938
(214) 227-2457
(214) 764-0880
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
SA00598
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
078913
CERTIFIED SURGICAL TECHNOLOGIST
TX
Enumeration date
11/16/2010
Last updated
12/13/2024
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