| Porter Healthcare Services Inc. | |
|
7830 Moonlight Ct Missouri City TX 77459-7560 | |
| (713) 304-0504 | |
| (281) 431-4429 |
| Full Name | Porter Healthcare Services Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 7830 Moonlight Ct, Missouri City, Texas |
| Authorized Official Name and Position | Thomas W Porter (OWNER) |
| Authorized Official Contact | 7133040504 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Porter Healthcare Services Inc. 7830 Moonlight Ct Missouri City TX 77459-7560 Ph: (713) 304-0504 | Porter Healthcare Services Inc. 7830 Moonlight Ct Missouri City TX 77459-7560 Ph: (713) 304-0504 |
| NPI Number | 1063640118 |
|---|---|
| Provider Enumeration Date | 06/28/2009 |
| Last Update Date | 06/28/2009 |
| Medicare PECOS PAC ID | 5698829273 |
|---|---|
| Medicare Enrollment ID | O20090901000172 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063640118 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | J2743 (Texas) | Primary |
| Provider Name | Thomas W Porter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235230574 PECOS PAC ID: 3375588254 Enrollment ID: I20050621001284 |
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