Porter, John R

Porter, John R is an sole proprietor health care provider with primary practice located at 1112 N. Floyd Rd. Ste 10, Richardson TX 75080. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Porter, John R can be contacted via phone (972) 235-6911.

Contact Information

Primary practice address
1112 N. Floyd Rd. Ste 10 Richardson TX 75080
Fax: (972) 235-3285
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X H3930 Texas
Allopathic & Osteopathic Physicians / Pediatrics 208000000X H3930 Texas

Profile Details

NPI number 1205803541
LBN Legal business name Porter, John R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 7th, 2006
Last updated Mar 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205803541 NPPES
Texas Other H3930 STATE LICENSE

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