Individual provider · Type 1 NPI
Michael Lawrence Porter, PA, SA-C
Surgical Physician Assistant · Grapevine, TX
NPI number
1851541270
Active
Practice location
2811 Manchester Ln
Grapevine, TX 76051-4731
Fax (214) 764-0880
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 4268 (AZ) |
| Surgical Physician Assistant Primary | 363AS0400X | PA06738 (TX) |
Surgical Physician Assistant: Definition to come...
Another provider at this address
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About NPI 1851541270
Michael Lawrence Porter, PA, SA-C's National Provider Identifier is 1851541270, issued on Sep 22, 2008. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Grapevine, TX. The record was last updated on Mar 4, 2026.