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Individual

SCOTT CRANSTON PORTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4005 24TH ST, LUBBOCK, TX 79410-1835
(806) 792-2767
(888) 861-8858
Mailing address
816 W CANNON ST, FORT WORTH, TX 76104-3194
(817) 321-0404

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
E6152
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
121695100
FIRSTCARE
TX
05
129437304
TX
01
300109572
RAILROAD MEDICARE
01
625920
FIRST HEALTH
01
87466Y
BLUE CROSS
TX
05
X4996
NM
Enumeration date
06/17/2005
Last updated
02/22/2022
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