Organization Active NPI

Porter Healthcare Services Inc.

  • Multi-Specialty Clinic/Center
  • Missouri City, TX
National Provider Identifier
1063640118
Registry record updated Jun 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
J2743 Issued in TX
Legal business name
PORTER HEALTHCARE SERVICES INC.
Practice address
7830 Moonlight CT
Missouri City, TX 77459-7560
Phone
(713) 304-0504
Fax
(281) 431-4429
NPI assigned
Jun 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Thomas W Porter, MDNPI 1235230574
Title
Owner
Phone
(713) 304-0504

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X J2743 TX Primary

Addresses

Primary practice location

7830 Moonlight CT
Missouri City, TX 77459-7560

Mailing address

7830 Moonlight CT
Missouri City, TX 77459-7560
Phone (713) 304-0504

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090901000172 TX Part B Supplier - Clinic/Group Practice 5698829273 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1246147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246147200000",
    "number": "1063640118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7830 MOONLIGHT CT",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774597560",
            "telephone_number": "713-304-0504",
            "fax_number": "281-431-4429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7830 MOONLIGHT CT",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774597560",
            "telephone_number": "713-304-0504",
            "fax_number": "281-431-4429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTER HEALTHCARE SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-28",
        "last_updated": "2009-06-28",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-304-0504",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "TX",
            "license": "J2743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missouri City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.