Individual
DR. MAURINE DION PORTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
721 THOMPSON DR, KERRVILLE, TX 78028-5154
(830) 896-2211
(830) 258-5366
Mailing address
205 PLATTEN CREEK RD, BOERNE, TX 78006-7210
(830) 324-6829
(830) 324-6830
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
H2080
TX
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
H2080
TX
208D00000X
General Practice Physician
H2080
TX
Other
Enumeration date
01/23/2007
Last updated
09/09/2008
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