Individual
DR. HOMA JACKSON PORTER II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8230 WALNUT HILL LN, SUITE 700, DALLAS, TX 75231-4482
(214) 691-1902
(214) 987-1845
Mailing address
3600 GASTON AVE, SUITE 1205, DALLAS, TX 75246-1800
(214) 692-8262
(214) 696-4190
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
L8894
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168549701
—
TX
05
—
168549702
—
TX
01
—
8M6732
BCBS PROVIDER ID
—
01
—
P00129571
RRMCR
TX
Enumeration date
05/27/2006
Last updated
01/31/2017
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