Individual
ROGER WILLIAM PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11937 US HIGHWAY 271, TYLER, TX 75708-3154
(903) 877-3451
Mailing address
PO BOX 847824, DALLAS, TX 75284-7824
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
E6569
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135708907
—
TX
Enumeration date
10/24/2005
Last updated
11/09/2009
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