EARNEST A PORTER


Address: 6324 Glenwick Dr, Fort Worth, TX 76123-1565
Phone: 6824726112

EARNEST A PORTER (NPI# 1174147912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174147912
Entity Type Individual
Full Name EARNEST A PORTER
Practice Address 6324 Glenwick Dr
Fort Worth
TX 76123-1565
Practice Telephone 6824726112
Mailing Telephone 6824726112
Enumeration Date 2020-06-07
Last Update Date 2020-06-07
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice 11471689 TX Allopathic & Osteopathic Physicians

Office Location

Street Address 6324 GLENWICK DR
City FORT WORTH
State TX
Zip Code 76123-1565

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1992253306 Jason Bowers Specialist/Technologist, Other 5316 Quail Feather Dr, Fort Worth, TX 76123 2016-09-14
1831546944 Kalima Charway Psychologist 4532 Endercrest Lane, Fort Worth, TX 76123 2016-05-18
1033551577 Michael Rose Specialist 4924 Belladonna Dr, Fort Worth, TX 76123 2013-07-25
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1336681170 Dynamic Rpa Healthcare Pa General Practice 3750 S University Dr Ste 275, Fort Worth, TX 76109-3795 2016-11-10
1588906218 Susan Moses Shropshire General Practice 4812 Camp Bowie Blvd, Suite B, Fort Worth, TX 76107-4121 2013-03-20
1376817932 Gordon Patterson Sharratt General Practice 3605 Roberts Cut Off Rd, Fort Worth, TX 76114-1039 2012-02-29
1063785665 Linda Atlas Reese General Practice 1001 N Rhea Dr, Fort Worth, TX 76108-3565 2012-02-14
1962711036 Larry Edwin Bradley General Practice 7016 Riverport Rd, Fort Worth, TX 76116-9311 2010-10-06
1922210996 Paul Lyndon Patrick General Practice 14805 Trinity Blvd, Fort Worth, TX 76155-2609 2007-05-04
1477607240 H Pena Md North Main Medical and Surgical Clinic Assoc General Practice 3301 North Main Street, Fort Worth, TX 76106 2007-01-22
1518030071 Barbara Anne Fannin General Practice 4101 Marys Creek Dr, Fort Worth, TX 76116 2006-11-15
1083799209 Chironet, L.L.C. General Practice 3149 Lackland Rd, #104, Fort Worth, TX 76116-4109 2006-10-26
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Competitor

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City FORT WORTH
Zip Code 76123

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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