Individual provider · Type 1 NPI

John Charles Porro, PA

Medical Physician Assistant · Dallas, TX

NPI number 1619083573 Active

Practice location

5201 Harry Hines Blvd
Dallas, TX 75235-7708

Mailing address

PO Box 660599
Dallas, TX 75266-0599

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X007955 (NY)
Medical Physician Assistant Primary 363AM0700XPA08992 (TX)

Medical Physician Assistant: Definition to come...

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About NPI 1619083573

John Charles Porro, PA's National Provider Identifier is 1619083573, issued on Aug 22, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Dallas, TX. The record was last updated on Apr 29, 2014.