John Charles Porro, PA
Physician Assistant, Medical in Dallas, TX. Individual provider (NPI-1).
NPI number1619083573
StatusActive
Last updated in NPPESApr 29, 2014
Details
- NPI
- 1619083573
- Entity type
- Individual (NPI-1)
- Name
- Mr. John Charles Porro
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 22, 2006
- Last updated
- Apr 29, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | PA08992 | TX | Yes |
| 363A00000X | Physician Assistant | 007955 | NY |
Practice location
5201 Harry Hines BlvdDallas, TX 75235-7708
Phone 214-590-4250
Mailing address
Po Box 660599Dallas, TX 75266-0599
Phone 214-590-4250
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