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Individual

HILDA EVANGELINE PORTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, FNP, CNS

Contact information

Practice address
8 CADILLAC DR, SUITE 250, BRENTWOOD, TN 37027-5087
(713) 560-6800
Mailing address
8 CADILLAC DR, SUITE 250, BRENTWOOD, TN 37027-5087
(713) 560-6800

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
424682
TX
364S00000X
Clinical Nurse Specialist
424682
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
156854501
TX
Enumeration date
10/11/2006
Last updated
03/02/2010
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