Organization Active NPI

R. Wayne Porter, M.D., P.a.

  • Family Medicine Physician
  • Terrell, TX
National Provider Identifier
1760676902
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H2162 Issued in TX
Legal business name
R. WAYNE PORTER, M.D., P.A.
Practice address
303 E College St Ste a
Terrell, TX 75160-2700
Phone
(972) 563-6700
Fax
(972) 563-6656
NPI assigned
Aug 30, 2007
Last updated
Dec 11, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2007

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

Authorized official

Name
Dr. R. Wayne Porter, M.D.
Title
President
Phone
(972) 563-6700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X H2162 TX Primary

Addresses

Primary practice location

303 E College St Ste a
Terrell, TX 75160-2700

Mailing address

303 E College St Ste a
Terrell, TX 75160-2700
Phone (972) 563-6700

Other identifiers 1

IdentifierTypeStateIssuer
R09AOtherTXBCBS

National Provider Directory

National Provider Directory

Locations

303 E College St
Ste A
Terrell, TX 75160
Phone (972) 563-6700

NPI Registry JSON

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1760676902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E COLLEGE ST STE A",
            "city": "TERRELL",
            "state": "TX",
            "postal_code": "751602700",
            "telephone_number": "972-563-6700",
            "fax_number": "972-563-6656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E COLLEGE ST STE A",
            "city": "TERRELL",
            "state": "TX",
            "postal_code": "751602700",
            "telephone_number": "972-563-6700",
            "fax_number": "972-563-6656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R. WAYNE PORTER, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-30",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "R.",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-563-6700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H2162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "R09A",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Terrell, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; 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.