Provider Demographics
NPI:1033791587
Name:PORTER, AMBER D (CD, CPD, CBE)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:D
Last Name:PORTER
Suffix:
Gender:F
Credentials:CD, CPD, CBE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6429 SACHSE ST
Mailing Address - Street 2:
Mailing Address - City:SACHSE
Mailing Address - State:TX
Mailing Address - Zip Code:75048-3013
Mailing Address - Country:US
Mailing Address - Phone:469-684-7473
Mailing Address - Fax:
Practice Address - Street 1:6429 SACHSE ST
Practice Address - Street 2:
Practice Address - City:SACHSE
Practice Address - State:TX
Practice Address - Zip Code:75048-3013
Practice Address - Country:US
Practice Address - Phone:469-684-7473
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-24
Last Update Date:2021-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty