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1013096841
JOE BOB PORTER
AZLE, TX
NPI
1013096841
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TX F3293)
Enumeration Date
2006-11-03
Last Update Date
2011-07-19
Business Address
Dr. JOE BOB PORTER D.O.
109 S BROADWAY
AZLE, TX 76020-3709
Phone number: 817-366-7150
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Mailing Address
Dr. JOE BOB PORTER D.O.
109 S BROADWAY
AZLE, TX 76020-3709
Phone number: 817-366-7150
Copy
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