| Doctor Name: | DR. DEMETRIUS JAMES PORCHE |
| NPI Number: | 1003254616 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RN, APRN |
| License Number: | AP02104 |
| Business Practice Address: | 1900 Gravier St New Orleans, LA - 701122262 |
| Business Phone Number: | 5045684106 |
| Business Fax Number: | |
| Mailing Address: | 931 Independence St, NEW ORLEANS |
| State: | LA |
| Postal Code: | 701175737 |
| Phone Number: | 5049480470 |
| Fax Number: | |
| NPI Enumeration Date: | 06/06/2013 |
| NPI Last Update Date: | 06/06/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | AP02104 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |