BORIS PORTO, M.D., P.A. (NPI# 1215196142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215196142 |
| Entity Type | Organization |
| Organization Name | BORIS PORTO, M.D., P.A. |
| Practice Address |
4412 74th St Suite E102 Lubbock TX 79424-2328 |
| Mailing Address |
Po Box 54136 Lubbock TX 79453-4136 |
| Practice Telephone | 8067927843 |
| Practice Fax Number | 8067927675 |
| Mailing Telephone | 8067711386 |
| Mailing Fax Number | 8067711388 |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2009-06-05 |
| Authorized Official Name | BORIS PORTO (PRESIDENT) |
| Authorized Official Telephone | 8067711386 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
H4621 | TX | Allopathic & Osteopathic Physicians |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
H4621 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS BLUE SHIELD | 0069RQ | 01 |
| TX | 199787601 | 05 |
| Street Address |
4412 74TH ST SUITE E102 |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79424-2328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912017922 | Boris Porto | Psychiatry & Neurology | 4412 74th St, Suite E102, Lubbock, TX 79424-2328 | 2006-08-30 |
| 1093031239 | Educare Community Living Limited Partnership | Intermediate Care Facility, Mentally Retarded | 4412 74th St, Ste C100, Lubbock, TX 79424-2328 | 2010-04-13 |
| 1922338904 | Pmjm, Inc. | Chiropractor | 4412 74th St, Suite D-100, Lubbock, TX 79424-2328 | 2010-01-13 |
| 1477629608 | Robert 'harmon' Meixner | Counselor | 4412 74th St, E102, Lubbock, TX 79424-2328 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376158121 | West Texas H.a.n.d. Pllc | Surgery | 5613 114th St, Lubbock, TX 79424 | 2020-09-09 |
| 1811519044 | H-e-b, Lp | Clinical Medical Laboratory | 4405 114th Street, Lubbock, TX 79424 | 2020-05-11 |
| 1184245573 | Jim Lee Lowrance | Chiropractor | 5152 69th Suite 101, Suite 101 Box #2, Lubbock, TX 79424 | 2020-04-27 |
| 1134787377 | April Denise Gardea | Speech-Language Pathologist | 6502 Slide Road Suite 204, Lubbock, TX 79424 | 2019-06-03 |
| 1215590658 | April Dawn Fortner | Counselor | 7617 86th St., Lubbock, TX 79424 | 2019-04-22 |
| 1427514561 | Thornhill Healthcare II, Inc. | Pharmacy | 6823 82nd St, Suite 600, Lubbock, TX 79424 | 2019-02-13 |
| 1174001358 | Emily Cowell | Technician, Other | 6102 82nd St Ste 10, Lubbock, TX 79424 | 2018-07-31 |
| 1043718786 | Edward Murphy | Pharmacist | 8702 Toledo Ave, Lubbock, TX 79424 | 2018-01-29 |
| 1013434364 | Yung Ling Tsai | Specialist/Technologist | 4707 116th Street, Lubbock, TX 79424 | 2017-08-28 |
| 1285187237 | Wter Quaker, Lp | Clinic/Center | 10205 Quaker Ave, Lubbock, TX 79424 | 2016-07-26 |
| Find all providers in zip 79424 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033564869 | Manish Kumar | Psychiatry & Neurology | Department of Psychiatry 3601 4th St, Texas Tech University Health Sciences Center, Lubbock, TX 79430-0001 | 2016-04-29 |
| 1922140599 | Ashot Azatian | Psychiatry & Neurology | 4401 6th St, Suite A, Lubbock, TX 79416-4700 | 2007-02-12 |
| 1912017922 | Boris Porto | Psychiatry & Neurology | 4412 74th St, Suite E102, Lubbock, TX 79424-2328 | 2006-08-30 |
| 1194833152 | Marina Chavez | Psychiatry & Neurology | 3601 4th St # Ms 8103, Lubbock, TX 79430-0002 | 2006-08-29 |
| 1780791913 | Dana Andrew Butler | Psychiatry & Neurology | 3307 82nd St, Suite J, Lubbock, TX 79423-2046 | 2006-08-24 |
| 1164452082 | Arun D Patel | Psychiatry & Neurology | 6309 Indiana Ave, Suite D, Lubbock, TX 79413-5738 | 2006-07-04 |
| 1063450633 | Bhupala Raju Kallepalli | Psychiatry & Neurology | 3301 101st St, Lubbock, TX 79423-4045 | 2006-06-03 |
| 1669455846 | John Michael Cobb | Psychiatry & Neurology | 6502 Slide Rd, Suite 311, Lubbock, TX 79424-1329 | 2005-11-22 |
| 1477548196 | Thomas Orville Gore | Psychiatry & Neurology | 3302 34th St, Lubbock, TX 79410-3232 | 2005-09-19 |
| 1629622006 | Hatice Guncu Kurt | Psychiatry & Neurology | 3601 4th St Stop 8103, Lubbock, TX 79430-8103 | 2019-07-24 |
| Find all providers in LUBBOCK | ||||
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| 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.