Individual
COURTNEY PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RCPHT
Contact information
Practice address
112 HALL RD, SEAGOVILLE, TX 75159-2916
(972) 287-7070
(972) 287-8199
Mailing address
112 HALL RD, SEAGOVILLE, TX 75159-2916
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
255606
TX
Other
Enumeration date
12/18/2018
Last updated
12/18/2018
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