Boris Porto, M.D., P.A.

LBN: Boris Porto, M.D., P.A.
Boris Porto, M.D., P.A. is an health care organization with primary practice located at 4412 74Th St Suite E102, Lubbock TX 79424-2328. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty. Boris Porto, M.D., P.A. can be contacted via phone (806) 792-7843, or through Porto, Boris via phone (806) 771-1386.

Contact Information

Primary practice address
4412 74Th St Suite E102 Lubbock TX 79424-2328
Phone: (806) 792-7843
Fax: (806) 792-7675
Website:
Map and Directions
Authorized official contact:
Name: Porto, Boris Doctor of Medicine (MD)
Phone: (806) 771-1386

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X H4621 Texas
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X H4621 Texas

Profile Details

NPI number 1215196142
LBN Legal business name Boris Porto, M.D., P.A.
DBA Doing business as
Authorized official Porto, Boris Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 5th, 2008
Last updated Jun 5th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215196142 NPPES
Texas MEDICAID 199787601
Texas Other 0069RQ

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