Provider Demographics
NPI:1619388543
Name:PORRAS, TERRIE (ND)
Entity Type:Individual
Prefix:
First Name:TERRIE
Middle Name:
Last Name:PORRAS
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3711 FATTA DR
Mailing Address - Street 2:
Mailing Address - City:DICKINSON
Mailing Address - State:TX
Mailing Address - Zip Code:77539-6449
Mailing Address - Country:US
Mailing Address - Phone:281-309-0402
Mailing Address - Fax:281-309-0501
Practice Address - Street 1:3711 FATTA DR
Practice Address - Street 2:
Practice Address - City:DICKINSON
Practice Address - State:TX
Practice Address - Zip Code:77539-6449
Practice Address - Country:US
Practice Address - Phone:281-309-0402
Practice Address - Fax:281-309-0501
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-14
Last Update Date:2014-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath