Provider Demographics
NPI:1013946789
Name:PORAT, EYAL E (MD)
Entity Type:Individual
Prefix:
First Name:EYAL
Middle Name:E
Last Name:PORAT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 BINZ ST STE 900
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-6938
Mailing Address - Country:US
Mailing Address - Phone:713-522-0220
Mailing Address - Fax:833-989-1160
Practice Address - Street 1:1200 BINZ ST STE 900
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-6938
Practice Address - Country:US
Practice Address - Phone:713-522-0220
Practice Address - Fax:833-989-1160
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM2020208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX146223606Medicaid
TXH46344Medicare UPIN
TX8051M2Medicare PIN