Provider Demographics
NPI:1295052207
Name:PORIER, LETICIA ANN (FNP)
Entity type:Individual
Prefix:MS
First Name:LETICIA
Middle Name:ANN
Last Name:PORIER
Suffix:
Gender:F
Credentials:FNP
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Mailing Address - Street 1:7579 N LOOP 1604 W STE 100
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-2782
Mailing Address - Country:US
Mailing Address - Phone:210-695-1900
Mailing Address - Fax:210-695-1901
Practice Address - Street 1:1250 E PIONEER PKWY STE 700
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76010-6423
Practice Address - Country:US
Practice Address - Phone:817-617-8990
Practice Address - Fax:866-554-1915
Is Sole Proprietor?:No
Enumeration Date:2010-04-29
Last Update Date:2023-03-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXAP118704363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX306232YKQQMedicare PIN