Individual
DR. CESAR PORTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 11TH ST, WICHITA FALLS, TX 76301-4300
(940) 764-7000
Mailing address
PO BOX 82, SHANNON, AL 35142-0082
(888) 212-4243
(888) 888-5688
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
J5448
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120677306
—
TX
01
—
8G9183
BLUE CROSS BLUE SHIELD
TX
01
—
930123202
MEDICARE RR PALMETTO
TX
Enumeration date
04/28/2006
Last updated
06/11/2020
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