Individual
DR. JOHN R PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1112 N. FLOYD RD., STE 10, RICHARDSON, TX 75080
(972) 235-6911
(972) 235-3285
Mailing address
1112 N. FLOYD RD., STE 10, RICHARDSON, TX 75080
(972) 235-6911
(972) 235-3285
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
H3930
TX
208000000X
Pediatrics Physician
Primary
H3930
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H3930
STATE LICENSE
TX
Enumeration date
03/07/2006
Last updated
03/07/2023
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