Individual
WILL PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
329 OAKS TRL STE 123, GARLAND, TX 75043-4082
(972) 240-5628
Mailing address
329 OAKS TRL STE 123, GARLAND, TX 75043-4082
(972) 240-5628
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
802768096
TX
Other
Enumeration date
07/18/2018
Last updated
07/18/2018
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