Kris Daniel Porter, MD, PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

J8509 Issued in TX

Legal business name

KRIS DANIEL PORTER, MD, PA

Practice address

94 Bluff VW
Aledo, TX 76008-4580

Phone

(817) 441-6136

Fax

(817) 441-6145

NPI assigned

Sep 16, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Kris Daniel Porter, M.D.NPI 1558379230

Title

Ceo

Phone

(817) 441-6136

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

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

• Kris D Porter, MD

  • Internal Medicine Physician
  • Euless, TX
  • NPI 1558379230
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442361600000",
    "number": "1609245083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 BLUFF VW",
            "city": "ALEDO",
            "state": "TX",
            "postal_code": "760084580",
            "telephone_number": "817-441-6136",
            "fax_number": "817-441-6145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 BLUFF VW",
            "city": "ALEDO",
            "state": "TX",
            "postal_code": "760084580",
            "telephone_number": "817-441-6136",
            "fax_number": "817-441-6145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRIS DANIEL PORTER, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-16",
        "last_updated": "2015-09-16",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "KRIS",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "817-441-6136",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J8509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "J8509",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Carolyn Jean Litteral, LPC-S, LCDC

• Internal Medicine Physician in Aledo, TX
• Providers in Aledo, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; 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.