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Individual

STEVEN J. PORTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2602 SAINT MICHAEL DR STE 302A, TEXARKANA, TX 75503-2387
(903) 614-5160
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 606-6400
(903) 606-1522

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
A90374
CA
207X00000X
Orthopaedic Surgery Physician
Primary
L9435
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A903740
CA
Enumeration date
02/10/2006
Last updated
11/17/2022
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