Thomas Deporter, Md, PA
NPI #1407530413 in Benbrook, Texas
Provider Information
- NPI Number
- 1407530413
- Entity Type
- Organization
- Organization Name
- Thomas Deporter, Md, PA
- Primary Specialty
- Clinic/Center - Medical Specialty
- Enumeration Date
- Jun 12, 2023
- Last Updated
- Jun 12, 2023
Practice Location
Authorized Official
- Name
- THOMAS ELDEN DEPORTER, MD
- Title
- OWNER
- Phone
- (682) 224-1703
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Medical Specialty — Medical Specialty |
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