Boris Porto, M.D., P.A.
Psychiatry & Neurology, Psychiatry in Lubbock, TX. Organization (NPI-2).
Details
- NPI
- 1215196142
- Entity type
- Organization (NPI-2)
- Legal business name
- Boris Porto, M.D., P.A.
- Organization subpart
- No
- Enumeration date
- Jun 5, 2008
- Last updated
- Jun 5, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | H4621 | TX | Yes |
| 2084P0804X | Psychiatry & Neurology, Child & Adolescent Psychiatry | H4621 | TX |
Practice location
4412 74th StSuite E102
Lubbock, TX 79424-2328
Phone 806-792-7843 · Fax 806-792-7675
Mailing address
Po Box 54136Lubbock, TX 79453-4136
Phone 806-771-1386 · Fax 806-771-1388
Authorized official
Boris Porto
President
8067711386
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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