Individual
EDWARD ALEXANDER PORRAS DOS SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
21540 PROVINCIAL BLVD APT 2128, KATY, TX 77450-7540
(832) 706-5544
Mailing address
21540 PROVINCIAL BLVD APT 2128, KATY, TX 77450-7540
(832) 706-5544
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
20-207
TX
Other
Enumeration date
04/14/2020
Last updated
04/14/2020
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