Provider Demographics
NPI:1467733329
Name:PORTLEY, FRANCINA
Entity Type:Individual
Prefix:
First Name:FRANCINA
Middle Name:
Last Name:PORTLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8035 E RL THRTN FWY
Mailing Address - Street 2:SUITE 470-A
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75228-7018
Mailing Address - Country:US
Mailing Address - Phone:214-321-5090
Mailing Address - Fax:
Practice Address - Street 1:8035 E RL THRTN FWY
Practice Address - Street 2:SUITE 470-A
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75228-7018
Practice Address - Country:US
Practice Address - Phone:214-321-5090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-06
Last Update Date:2011-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX37-1646939OtherEIN NUMBER