Boris Porto in Lubbock - Child & Adolescent Psychiatry
Boris Porto - NPI 1912017922
Boris Porto is a Child & Adolescent Psychiatry in Lubbock, Texas. Boris Porto practices all healthcare services and medical treatments related to Child & Adolescent Psychiatry. The NPI Number for Boris Porto is 1912017922. The last update date is 2009-06-05.
Boris Porto's current location address is 4412 74th St, Lubbock, Texas. You can contact this provider via phone number 8067927843 and fax number 8067927675. The mailing address for Boris Porto is 4412 74th St, Lubbock, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Boris Porto |
|---|---|
| Address | 4412 74th St, Lubbock, Texas |
| Phone Number | 8067927843 |
| Fax Number | 8067927675 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1912017922 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2009-06-05 |
Provider Mailing Address Detail
| Address | 4412 74th St |
|---|---|
| City | Lubbock |
| State | Texas (TX) |
| Post Code | 794242328 |
| Phone Number | 8067927843 |
| Fax Number | 8067927675 |
Provider's Primary Taxonomy Detail
| Speciality | Child & Adolescent Psychiatry |
|---|---|
| Taxonomy | 2084P0804X |
| Licence No | H4621 |
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Definition: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 99191103 | TX | -- | |
| 00K82U | TX | BCBS | |
| 8BN890 | TX | BLUE CROSS | |
| 99191101 | TX | -- | |
| 99191102 | TX | -- | |
| 121705101 | TX | FIRSTCARE |
Post Comment/ Review Below
Could you provide the complete address where Boris Porto is physically located?
The Boris Porto is situated at the following address: 4412 74Th St, Lubbock, TX 794242328.
Could you please share the complete physical location address where Boris Porto's facilities are situated?
The facilities of Boris Porto are physically located at the following address: 4412 74Th St, Lubbock, TX, 794242328.
What is Boris Porto's specialized field of practice, and what is the corresponding taxonomy classification code?
The Boris Porto's area of specialization is Child & Adolescent Psychiatry, and the corresponding taxonomy code that categorizes this field of practice is 2084P0804X.
On what date was the 1912017922 assigned to Boris Porto?
The Boris Porto was issued its 1912017922 on 2006-08-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Boris Porto, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Boris Porto, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-06-05.