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1588680672
BRENT A PORTER
BASTROP, TX
NPI
1588680672
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: TX L1969)
Enumeration Date
2006-07-14
Last Update Date
2013-01-31
Business Address
-- BRENT A PORTER MD
441 HIGHWAY 71 W SUITE C
BASTROP, TX 78602-3931
Phone number: 512-304-0313
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Mailing Address
-- BRENT A PORTER MD
1601 RIO GRANDE ST SUITE 340
AUSTIN, TX 78701-1137
Phone number: 512-324-8960
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