Individual
MRS. MICHELLE ANN PORTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
1314 E SONTERRA BLVD STE 5102, SAN ANTONIO, TX 78258-4289
(210) 490-8888
(210) 496-6865
Mailing address
25111 REMINGTON OAKS, SAN ANTONIO, TX 78261-2903
(210) 364-3338
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP144279
TX
Other
Enumeration date
12/09/2019
Last updated
07/20/2022
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