Individual
ANGEL M PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9191 PINECROFT DR, SUITE 150, SHENANDOAH, TX 77380-2796
(281) 681-3905
(281) 362-0403
Mailing address
9191 PINECROFT DR, SUITE 150, SHENANDOAH, TX 77380-2796
(281) 681-3905
(281) 362-0403
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
716735
TX
Other
Enumeration date
04/15/2010
Last updated
04/15/2010
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