| Organization Name: | PORTER HEALTHCARE SERVICES INC. |
| NPI Number: | 1063640118 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | THOMAS W PORTER (OWNER) |
| Mailing Address: | 7830 Moonlight Ct Missouri City |
| State: | TX US |
| Postal Code: | 774597560 |
| Phone Number: | 7133040504 |
| Fax Number: | 2814314429 |
| NPI Enumeration Date: | 06/28/2009 |
| NPI Last Update Date: | 06/28/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1300X |
| License Number: | J2743 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Multi-Specialty |
| Taxonomy Definition: | |