| Doctor Name: | DR. MAURINE DION PORTO |
| NPI Number: | 1124172432 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | H2080 |
| Business Practice Address: | 721 Thompson Dr Kerrville, TX - 780285154 |
| Business Phone Number: | 8308962211 |
| Business Fax Number: | 8302585366 |
| Mailing Address: | 205 Platten Creek Rd, BOERNE |
| State: | TX |
| Postal Code: | 780067210 |
| Phone Number: | 8303246829 |
| Fax Number: | 8303246830 |
| NPI Enumeration Date: | 01/23/2007 |
| NPI Last Update Date: | 09/09/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | H2080 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |