EARNEST PORTER

General Practice

Active Individual
NPI: 1174147912

Practice Address

6324 GLENWICK DR
Fort Worth, TX 76123

Phone: (682) 472-6112

Specialties

Specialty Code Primary License
General Practice 208D00000X Yes 11471689 (TX)

Frequently Asked Questions

NPI 1174147912 is the National Provider Identifier for EARNEST PORTER, a General Practice provider located in Fort Worth, TX. This NPI was enumerated on June 7, 2020.
EARNEST PORTER practices at 6324 GLENWICK DR, Fort Worth, TX 76123.

Quick Facts

NPI
1174147912
Type
Individual
Enumerated
Jun 7, 2020
Last Updated
Jun 7, 2020

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