Individual
ELISE SEYMORE PORRAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CPNP
Contact information
Practice address
1500 COOPER ST, FORT WORTH, TX 76104-2710
(682) 885-4095
(682) 885-7934
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-1855
(682) 885-1396
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
664844
TX
363LP0222X
Critical Care Pediatric Nurse Practitioner
664844
TX
Other
Enumeration date
11/17/2010
Last updated
02/10/2025
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