| R. Wayne Porter, M.d., P.a. | |
|
303 E College St Ste A Terrell TX 75160-2700 | |
| (972) 563-6700 | |
| (972) 563-6656 |
| Full Name | R. Wayne Porter, M.d., P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 303 E College St Ste A, Terrell, Texas |
| Authorized Official Name and Position | R. Wayne Porter (PRESIDENT) |
| Authorized Official Contact | 9725636700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| R. Wayne Porter, M.d., P.a. 303 E College St Ste A Terrell TX 75160-2700 Ph: (972) 563-6700 | R. Wayne Porter, M.d., P.a. 303 E College St Ste A Terrell TX 75160-2700 Ph: (972) 563-6700 |
| NPI Number | 1760676902 |
|---|---|
| Provider Enumeration Date | 08/30/2007 |
| Last Update Date | 12/11/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760676902 | NPI | - | NPPES |
| R09A | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | H2162 (Texas) | Primary |
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