CARLOS PORTER, MD PA (NPI# 1558400168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558400168 |
| Entity Type | Organization |
| Organization Name | CARLOS PORTER, MD PA |
| Other Organization Name | PORTER MEDICAL ASSOCIATES |
| Practice Address |
2829 Babcock Rd Ste 117 San Antonio TX 78229-6009 |
| Practice Telephone | 2103419614 |
| Practice Fax Number | 2103405924 |
| Mailing Telephone | 2103419614 |
| Mailing Fax Number | 2103405924 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-10-13 |
| Authorized Official Name | CYNTHIA CELEDON (PRACTICE ADMINISISTRATOR) |
| Authorized Official Telephone | 2103419614 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
J6667 | TX | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 121373804 | 05 | |
| TX | 121373802 | 05 |
| Other Name | Type Code |
|---|---|
| Porter Medical Associates | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5282 Medical Dr, Suite 250, San Antonio, TX 782294849 | 2103419614 | 2103405924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548475320 | Carlos Porter, Md Pa | Clinic/Center | 2318 Pat Booker Rd, Universal City, TX 78148-3229 | 2007-05-14 |
| Street Address |
2829 BABCOCK RD STE 117 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78229-6009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306472048 | Joshua Czarnecki | Physician Assistant | 2829 Babcock Rd Ste 117, San Antonio, TX 78229-6009 | 2020-03-13 |
| 1780218016 | Ana Jessica Diaz | Physician Assistant | 2829 Babcock Rd Ste 117, San Antonio, TX 78229-6009 | 2020-02-25 |
| 1932500824 | Christopher Michael Kvapil | Physician Assistant | 2829 Babcock Rd Ste 117, San Antonio, TX 78229-6009 | 2014-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245857226 | Lyndsey A Sandoval | Optometrist | 7400 Minton Miner St, San Antonio, TX 78229 | 2020-06-25 |
| 1295355311 | Nicolet Finger | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Drive, Mc 7798, San Antonio, TX 78229 | 2020-04-18 |
| 1215557400 | Amy Elizabeth Werry | Clinical Neuropsychologist | 7703 Floyd Circle Drive, San Antonio, TX 78229 | 2020-04-17 |
| 1740822972 | Mohammad Safaie Yazdi | Student in an Organized Health Care Education/Training Program | Ut Health Science Center At San Antonio- Agdc, 8210 Floyd Curl Dr., Msc 8103, San Antonio, TX 78229 | 2019-10-09 |
| 1063053072 | Blas Edward Villa | Nurse Practitioner | 7703 Floyd Curl Drive Mc 7885 Pulmonary Diseases & Crit, Medicine, San Antonio, TX 78229 | 2019-10-01 |
| 1124673942 | Integrity Dme Services LLC | Durable Medical Equipment & Medical Supplies | 6323 Sovereign Dr, Suite # 170 Ab, San Antonio, TX 78229 | 2019-08-08 |
| 1730734120 | Marisa Erin Leyden | Speech-Language Pathologist | Joe R. & Teresa Lozano Long Campus, 7703 Floyd Curl Dr., San Antonio, TX 78229 | 2019-08-03 |
| 1285295741 | Alireza Ghezavati | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Drive Mc 7750, Department of Pathology and Laboratory Medicine, San Antonio, TX 78229 | 2019-06-25 |
| 1407410285 | Denae Cheyenne Rushing | Student in an Organized Health Care Education/Training Program | 8201 Floyd Curl Drive, San Antonio, TX 78229 | 2019-04-26 |
| 1265993570 | Shehzad Amlani | Student in an Organized Health Care Education/Training Program | Address: 7703 Floyd Curl Dr, San Antonio, TX 78229 | 2019-03-28 |
| Find all providers in zip 78229 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518573443 | Elizabeth Danielle Benavides | Clinic/Center | 1424 Tanager Ct, San Antonio, TX 78260-2455 | 2020-09-16 |
| 1962041558 | Synergenx Health - Alamo Ranch San Antonio LLC | Clinic/Center | Culebra Commons, Phase II, W Loop 1604 N and Culebra Rd, Suite 204, San Antonio, TX 78254 | 2019-12-30 |
| 1013488626 | Campus Bullis Primary Care | Clinic/Center | 6865 Camp Bullis, Suite 201, San Antonio, TX 78256 | 2018-12-07 |
| 1730665779 | Nutrition for You LLC | Clinic/Center | 1103 Red Rock Rnch, San Antonio, TX 78245-4435 | 2018-07-12 |
| 1285133983 | Medical Care Innovation, P.C. | Clinic/Center | 110000 Rogers Run, San Antonio, TX 78251 | 2018-02-08 |
| 1962936468 | Synergenx Health - Northwest San Antonio LLC | Clinic/Center | 11163 W Loop 1604 N Ste 203, San Antonio, TX 78254-2266 | 2017-04-12 |
| 1124578018 | Alison Wiesenthal, Md, Pa | Clinic/Center | 333 W Olmos Dr, San Antonio, TX 78212-1959 | 2016-10-04 |
| 1679925242 | Tenet | Clinic/Center | 8200 Perrin Beitel Rd, San Antonio, TX 78218-1547 | 2016-07-07 |
| 1841664067 | Centro Medico Familiar Ebenezer | Clinic/Center | 5650 N Foster Rd, San Antonio, TX 78244-1106 | 2015-11-27 |
| 1700205747 | Primary Wellness Associates, LLC | Clinic/Center | 131 E Terra Alta Dr, San Antonio, TX 78209-2742 | 2014-04-07 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78229 |
Please comment or provide details below to improve the information on CARLOS PORTER, MD PA.
| 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.