Porter, John Richard

Porter, John Richard is an individual health care provider with primary practice located at 4617 Greenwood Dr , Corpus Christi TX 78416-1742. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Porter, John Richard can be contacted via phone (361) 857-2872.

Contact Information

Primary practice address
4617 Greenwood Dr Corpus Christi TX 78416-1742
Phone: (361) 857-2872
Fax: (361) 857-2946
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X D6133 Texas

Profile Details

NPI number 1184606808
LBN Legal business name Porter, John Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2005
Last updated Jan 2nd, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184606808 NPPES
Texas MEDICAID 123843806

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