Individual
MARLENA ELIZABETH PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2901 STADIUM DR, FORT WORTH, TX 76129-0006
(925) 451-2971
Mailing address
2737 LUBBOCK AVE, FORT WORTH, TX 76109-1411
(925) 451-2971
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
TX
Other
Enumeration date
03/30/2017
Last updated
03/30/2017
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