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NPI Code Detail

MEDICARE: VIRGINIA PORRAS P.A.-C

MEDICARE: VIRGINIA PORRAS P.A.-C
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
1207QA0505XAdult Medicine PhysicianPA00166TX
2363A00000XPhysician AssistantPA00166TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PA00166OTHERTXPHYSICIAN ASSISTANT PERMI

General Provider Information

NPI Number : 1669594834
Entity Type Code : Individual
Provider Name (Legal Business Name) : VIRGINIA PORRAS P.A.-C
Provider Business Mailing Address
First Line : 700 N PEARL ST STE N510
Second Line :
City : DALLAS
State : TX
Zip : 75201-2863
Country : US
Telephone Number : 214-580-7277
Fax Number : 214-999-9363
Provider Business Practice Location Address
First Line : 700 N PEARL ST STE N208
Second Line :
City : DALLAS
State : TX
Zip : 75201-7430
Country : US
Telephone Number : 214-999-9355
Fax Number : 214-999-9363
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2007
Last Update Date : 07/10/2023

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Directions to “ VIRGINIA PORRAS P.A.-C” 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.

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