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1174147912
EARNEST A PORTER
FORT WORTH, TX
NPI
1174147912
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208D00000X General Practice
(Licence: TX 11471689)
Enumeration Date
2020-06-07
Last Update Date
2020-06-07
Business Address
EARNEST A PORTER
6324 GLENWICK DR
FORT WORTH, TX 76123-1565
Phone number: 682-472-6112
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Mailing Address
EARNEST A PORTER
6324 GLENWICK DR
FORT WORTH, TX 76123-1565
Phone number: 682-472-6112
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