Individual
DR. CLIFFORD FREDERIC PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 E 41ST ST STE 925, AUSTIN, TX 78751
(512) 978-9940
(512) 901-9702
Mailing address
1000 E 41ST ST STE 925, AUSTIN, TX 78751-4856
(512) 978-9940
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
04-34828
KS
207Q00000X
Family Medicine Physician
Primary
Q4495
TX
Other
Enumeration date
03/31/2009
Last updated
08/22/2018
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