Individual provider · Type 1 NPI
Clyde D. Portis
Lodging Provider · Hornbeck, LA
NPI number
1699599035
Active
Practice location
377 Charles Miller Rd
Hornbeck, LA 71439-1610
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Lodging Provider Primary | 177F00000X | None listed |
Lodging Provider: A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
About NPI 1699599035
Clyde D. Portis's National Provider Identifier is 1699599035, issued on Nov 12, 2024. The primary taxonomy on file is Lodging Provider (177F00000X), and the practice location is in Hornbeck, LA. The record was last updated on Nov 12, 2024.