DR. Joe Bob Porter, D.O.

NPI #1013096841 in Azle, Texas

Provider Information

NPI Number: 1013096841
Entity Type: Individual
Name: DR. Joe Bob Porter, D.O.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: D.O.
Enumeration Date: Nov 3, 2006
Last Updated: Jul 19, 2011

Practice Location

Address: 109 S BROADWAY
City: Azle
State: Texas
ZIP Code: 76020-3709
Phone: (817) 366-7150

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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