MEDICARE: CARLOS PORTER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	J6667	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013918242
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLOS PORTER M.D.

Provider Business Mailing Address
First Line	:	5825 CALLAGHAN RD STE 203
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78228-1107
Country	:	US
Telephone Number	:	210-341-9614
Fax Number	:	210-340-5924

Provider Business Practice Location Address
First Line	:	9091 FAIR OAKS PKWY STE 301
Second Line	:
City	:	FAIR OAKS RANCH
State	:	TX
Zip	:	78015-4690
Country	:	US
Telephone Number	:	210-903-2002
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	04/30/2024

Similar Medicare Providers

1437702107 — DR. ASHLYNN DENNINGTON OD
Practice Location Address:

9091 FAIR OAKS PKWY STE 307
FAIR OAKS RANCH, TX
78015-4690

Practice Phone: 210-698-6393
Practice Fax: 210-698-9788

1750936720 — DENNINGTON COLLAB
Practice Location Address:

9091 FAIR OAKS PKWY STE 307
FAIR OAKS RANCH, TX
78015-4690

Practice Phone: 210-698-6393
Practice Fax: 210-698-9788

1235988676 — PRIMARY CARE MEDICAL ASSOCIATES PLLC
Practice Location Address:

9091 FAIR OAKS PKWY STE 301
FAIR OAKS RANCH, TX
78015-4690

Practice Phone: 210-903-2002
Practice Fax:

1205677648 — NIKI N NGUYEN OD
Practice Location Address:

9091 FAIR OAKS PKWY STE 306
FAIR OAKS RANCH, TX
78015-4690

Practice Phone: 210-698-6393
Practice Fax: 210-698-9788

1306646716 — ATLANTA HOMECARE SERVICES, LLC
Practice Location Address:

4690 STERLING OAKS CT
LILBURN, GA
30047-3683

Practice Phone: 678-404-9598
Practice Fax:

1265425649 — DAVID FLOWERS
Practice Location Address:

29719 FAIRWAY BLUFF DR
FAIR OAKS RANCH, TX
78015-4473

Practice Phone: 830-388-0358
Practice Fax:

Directions to “ CARLOS PORTER M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.