MICHEAL DEAN PORTS

MARBLE FALLS, TX
NPI1982697066
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TX  AP112725)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: TX  601843)
Enumeration Date2005-08-24
Last Update Date2023-06-23
Business Address
MICHEAL DEAN PORTS CRNA
810 W HIGHWAY 71
MARBLE FALLS, TX 78654-8602
Phone number: 830-201-8000
Mailing Address
MICHEAL DEAN PORTS CRNA
PO BOX 844658
DALLAS, TX 75284-4658
Phone number: 800-994-0371