| Dr Charles Thomas Porter Jr, MD | |
|
1301 Wonder World Dr, San Marcos, TX 78666-7533 | |
| (512) 753-3627 | |
| (254) 200-4090 |
| Full Name | Dr Charles Thomas Porter Jr |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 1301 Wonder World Dr, San Marcos, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831174937 | NPI | - | NPPES |
| 125444306 | Other | TX | SUPERIOR HEALTH CHIPS |
| 050088140 | Other | TX | RAILROAD MEDICARE |
| 125444306 | Medicaid | TX | |
| 8616B6 | Other | TX | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | H5606 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Charles Thomas Porter Jr, MD Po Box 938, Killeen, TX 76540-0938 Ph: (254) 634-6999 | Dr Charles Thomas Porter Jr, MD 1301 Wonder World Dr, San Marcos, TX 78666-7533 Ph: (512) 753-3627 |
Derrick Wansom, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1320 Wonder World Dr Ste 106, San Marcos, TX 78666 Phone: 512-851-1165 Fax: 833-925-2433 | |
Dr. John Christopher Smith, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1301 Wonder World Dr, San Marcos, TX 78666 Phone: 512-753-3627 Fax: 254-200-4090 |