Individual
BARBARA J PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11714 WILSON PARKE AVE, SUITE 150, AUSTIN, TX 78726-4006
(737) 247-7200
(512) 406-7368
Mailing address
PO BOX 26726, AUSTIN, TX 78755-0726
(512) 407-8686
(512) 406-6216
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J5867
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101551301
—
TX
05
—
101551303
—
TX
Enumeration date
07/29/2006
Last updated
08/27/2014
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