Individual
BRENDA L PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1105 BROOK AVE, WICHITA FALLS, TX 76301-5008
(940) 723-1441
(940) 766-3659
Mailing address
PO BOX 5166, WICHITA FALLS, TX 76307-5166
(940) 723-1441
(940) 766-3659
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
041104
TX
Other
Enumeration date
07/31/2006
Last updated
11/29/2007
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