Organization
CARLOS PORTER, MD PA
Active
Other names
Porter Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY RUIZ (PRACTICE ADMINISISTRATOR)
(210) 341-9614
Entity
Organization
Contact information
Practice address
2829 BABCOCK RD STE 117, SAN ANTONIO, TX 78229-6009
(210) 341-9614
(210) 340-5924
Mailing address
5825 CALLAGHAN RD STE 203, SAN ANTONIO, TX 78228-1107
(210) 341-9614
(210) 340-5924
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
J6667
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121373802
—
TX
Enumeration date
02/06/2007
Last updated
02/18/2022
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