Thomas Deporter, MD, PA

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

THOMAS DEPORTER, MD, PA

Practice address

6410 Southwest Blvd Ste 100
Benbrook, TX 76109-3918

Phone

(682) 224-1703

NPI assigned

Jun 12, 2023

Organization subpart

No

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

Authorized official

Name

Thomas Elden Deporter, MDNPI 1174651004

Title

Owner

Phone

(682) 224-1703

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Thomas Elden Deporter, M.D.

  • Psychiatry Physician
  • Fort Worth, TX
  • NPI 1174651004
  NPD Authorized official

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686528000000",
    "number": "1407530413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6410 SOUTHWEST BLVD STE 100",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "761093918",
            "telephone_number": "682-224-1703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6410 SOUTHWEST BLVD STE 100",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "761093918",
            "telephone_number": "682-224-1703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS DEPORTER, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-10",
        "status": "A",
        "authorized_official_last_name": "DEPORTER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "ELDEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "682-224-1703",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Texas Angels Home Health Care Incorporated
• Texas Center of Chiropractic Orthopedics, LLC
• Texas Health Care, PLLC (Privia Medical Group North Texas)
• Texas Sinus and Allergy
• Texas Sinus and Allergy PLLC
• Danny Ray Thomas, MD
• Erica Thornton
• Alexis Thrash
• Melanie La Kaye Throne, D.D.S.
• Totalcare ER Benbrook, PLLC

• Medical Specialty Clinic/Center in Benbrook, TX
• Providers in Benbrook, TX by specialty
• Medical Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.