Individual provider · Type 1 NPI
Kearra Porter, COSMETOLOGIST
Prosthetic/Orthotic Supplier · Grand Prairie, TX
Practice location
2100 N Hwy 360 Ste 1413
Grand Prairie, TX 75050-1011
Mailing address
1152 Indian Run Dr Apt 1413
Carrollton, TX 75010-1185
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 1679212 (TX) |
| Prosthetic/Orthotic Supplier Primary | 335E00000X | 1679212 (TX) |
Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
Other prosthetic/orthotic supplier providers in Grand Prairie
About NPI 1235945403
Kearra Porter, COSMETOLOGIST's National Provider Identifier is 1235945403, issued on Dec 3, 2024. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Grand Prairie, TX. The record was last updated on Oct 29, 2025.