| Cesar H Porta Md Pllc | |
|
1600 11th St Wichita Falls TX 76301-4300 | |
| (940) 763-1200 | |
| (940) 763-1207 |
| Full Name | Cesar H Porta Md Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1600 11th St, Wichita Falls, Texas |
| Authorized Official Name and Position | Cesar Porta (PROVIDER) |
| Authorized Official Contact | 9407631200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cesar H Porta Md Pllc 706 Denver St Wichita Falls TX 76301-4140 Ph: (940) 763-1200 | Cesar H Porta Md Pllc 1600 11th St Wichita Falls TX 76301-4300 Ph: (940) 763-1200 |
| NPI Number | 1912319161 |
|---|---|
| Provider Enumeration Date | 05/22/2014 |
| Last Update Date | 06/19/2014 |
| Medicare PECOS PAC ID | 1355566530 |
|---|---|
| Medicare Enrollment ID | O20140701001836 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912319161 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Cesar H Porta |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184681520 PECOS PAC ID: 1254316367 Enrollment ID: I20100421000823 |
| Provider Name | Cheryl D Williams |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1679826853 PECOS PAC ID: 5294987228 Enrollment ID: I20121220000088 |
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