Organization
SCOTT A PORTER MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT A PORTER MD (PRESIDENT)
(972) 566-7777
Entity
Organization
Contact information
Practice address
7777 FOREST LN, A310, DALLAS, TX 75230-2584
(972) 566-7777
Mailing address
7777 FOREST LN, A310, DALLAS, TX 75230-2584
(972) 566-7777
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
F9971
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
089578101
—
TX
01
—
TXB123285
MEDICARE PTAN
TX
Enumeration date
12/16/2010
Last updated
07/29/2011
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