BORIS PORTO, M.D., P.A.
Psychiatric at 74 St, Lubbock, TX

License number
Texas H4621
Category
Psychiatric
Type
Psychiatry
License number
Texas H4621
Category
Psychiatric
Type
Child & Adolescent Psychiatry
Owner
Name: BORIS PORTO M.D.
Title: PRESIDENT
Phone: (806) 771-1386
Address
Address
4412 74Th St SUITE E102, Lubbock, TX 79424
National Provider ID: 1215196142
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about BORIS PORTO, M.D., P.A. at bizstanding.com

BORIS PORTO, M.D., PA

4412 74 St STE E102, Lubbock, TX 79424

Registration:
Oct 10, 2006
State ID:
0800719203
Business type:
Professional Association
President, Director, Member:
Boris Porto (President, Director, Member)
TIN:
32035106817

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