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Individual

CHAD THOMAS PORTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD.201618
LA
2085R0202X
Diagnostic Radiology Physician
P1211
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1217077
LA
01
201618
LICENSE
LA
01
2085R0202X
TAXONOMY
01
35010
CDS
LA
01
NPI
1669652665
LA
Enumeration date
11/07/2007
Last updated
03/07/2023
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