Porto, Boris

Porto, Boris is an individual health care provider with primary practice located at 4412 74Th St Suite E102, Lubbock TX 79424-2328. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Porto, Boris can be contacted via phone (806) 792-7843.

Contact Information

Primary practice address
4412 74Th St Suite E102 Lubbock TX 79424-2328
Phone: (806) 792-7843
Fax: (806) 792-7675
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X H4621 Texas
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X H4621 Texas

Profile Details

NPI number 1912017922
LBN Legal business name Porto, Boris
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jun 5th, 2009 - about 15 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 1912017922 NPPES
Texas MEDICAID 099191103
Texas Other 00K82U
Texas Other 8BN890
Texas MEDICAID 099191101
Texas MEDICAID 099191102
Texas Other 121705101

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