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Individual

DR. ENRIQUE PORRAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1740 CURIE DR, EL PASO, TX 79902-2901
(915) 351-9044
Mailing address
508 ROSINANTE RD, EL PASO, TX 79922-2224
(915) 598-2100
(915) 591-4069

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
J8346
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1221277-04
TX
01
122127706
WELLMED MEDICAL GROUP PA - MEDICAID
TX
01
276679YLPS
WELLMED PTAN
TX
05
742840162
TX
Enumeration date
01/05/2006
Last updated
10/31/2018
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