Matthew R Porter MD

NPI 1023095676 - Family Medicine - 207Q00000X

NPI Details
NPI 1023095676
Gender Male
Enumeration Date 12/26/2005
Last Updated 04/30/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
600 W. STATE HWY 6
WACO TX, 76712, US
Phone (254) 313-6700
Fax (254) 313-4531
Business Location
WACO TX, 76707-2261, US
Phone (254) 313-4200
Fax (254) 313-4326
Taxonomy Code 207Q00000X
License State Texas
License Number K1622
Remove 1023095676 NPI Number

According to our database, Dr. Matthew R Porter MD NPI is 1023095676, taxonomy code is 207Q00000X and license number is K1622, license state is located at Texas. Matthew R Porter MD physically located at 600 W. State Hwy 6, Waco TX, 76712. NPI Number Matthew R Porter MD has the Individual type.

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1023095676 NPI number is provided on an as is basis without warranty of any kind. 1023095676 is maintained by the National Plan & Provider Enumeration System. The contents of Matthew R Porter MD are for informational purposes only.