Individual
MARK PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
315 N SAN SABA STE 1135, SAN ANTONIO, TX 78207-3255
(210) 704-3030
Mailing address
315 N SAN SABA STE 1135, SAN ANTONIO, TX 78207-3255
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
T1812
TX
2080P0205X
Pediatric Endocrinology Physician
D86004
MD
2080P0205X
Pediatric Endocrinology Physician
Primary
T1812
TX
Other
Enumeration date
05/05/2015
Last updated
11/14/2023
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