Porter, Scott Cranston

Porter, Scott Cranston is an individual health care provider with primary practice located at 4005 24Th St , Lubbock TX 79410-1835. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Porter, Scott Cranston can be contacted via phone (806) 792-2767.

Contact Information

Primary practice address
4005 24Th St Lubbock TX 79410-1835
Phone: (806) 792-2767
Fax: (888) 861-8858
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X E6152 Texas

Profile Details

NPI number 1134124894
LBN Legal business name Porter, Scott Cranston
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Feb 22nd, 2022 - about 2 years ago

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 1134124894 NPPES
New Mexico MEDICAID X4996
New Mexico Other 625920
New Mexico MEDICAID 129437304
New Mexico Other 121695100
New Mexico Other 300109572
New Mexico Other 87466Y

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