Provider Demographics
NPI:1891170213
Name:PORTER, JANIS DANIELLE
Entity Type:Individual
Prefix:MRS
First Name:JANIS
Middle Name:DANIELLE
Last Name:PORTER
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:JANIS
Other - Middle Name:DANIELLE
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4828 LOOP CENTRAL DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77081-2212
Mailing Address - Country:US
Mailing Address - Phone:713-979-3800
Mailing Address - Fax:713-979-3806
Practice Address - Street 1:305 NE LOOP 820
Practice Address - Street 2:BUSINESS TOWER 1, SUITE 200
Practice Address - City:HURST
Practice Address - State:TX
Practice Address - Zip Code:76053-7209
Practice Address - Country:US
Practice Address - Phone:817-292-8787
Practice Address - Fax:817-789-6849
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-27
Last Update Date:2015-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX388162355S0801X
251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant
No251E00000XAgenciesHome Health