Active NPI
Maurine Dion Porto, M.D.
- Public Health & General Preventive Medicine Physician
- Kerrville, TX
National Provider Identifier
1124172432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- License
- H2080
- Practice address
- 721 Thompson Dr
Kerrville, TX 78028-5154 - Phone
- (830) 896-2211
- Fax
- (830) 258-5366
- NPI assigned
- Jan 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 2083P0901X | H2080 | TX | Primary |
| General Practice Physician | 208D00000X | H2080 | TX | |
| Emergency Medicine Physician | 207P00000X | H2080 | TX |
Addresses
Primary practice location
721 Thompson Dr
Kerrville, TX 78028-5154
Mailing address
205 Platten Creek Rd
Boerne, TX 78006-7210
Phone (830) 324-6829
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220918400000",
"number": "1124172432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 PLATTEN CREEK RD",
"city": "BOERNE",
"state": "TX",
"postal_code": "780067210",
"telephone_number": "830-324-6829",
"fax_number": "830-324-6830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 THOMPSON DR",
"city": "KERRVILLE",
"state": "TX",
"postal_code": "780285154",
"telephone_number": "830-896-2211",
"fax_number": "830-258-5366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTO",
"first_name": "MAURINE",
"middle_name": "DION",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-23",
"last_updated": "2008-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "TX",
"license": "H2080",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "TX",
"license": "H2080",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "H2080",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kerrville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.