Individual
BORIS PORTO
Active
Individual
BORIS PORTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
H4621
TX
2084P0804X
Child & Adolescent Psychiatry Physician
H4621
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00K82U
BCBS
TX
05
—
099191101
—
TX
05
—
099191102
—
TX
05
—
099191103
—
TX
01
—
121705101
FIRSTCARE
TX
01
—
8BN890
BLUE CROSS
TX
Enumeration date
08/30/2006
Last updated
06/05/2009
Update your record
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