Individual
THOMAS R PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
EMILE @ 42ND ST, OMAHA, NE 68198-8102
(402) 559-8888
(402) 559-3060
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
18875
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47078557520
—
NE
Enumeration date
05/12/2006
Last updated
08/14/2019
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