STEPHANIE ANN PORTER M.D. NPI 1154349389

NPI Information

  • NPI: 1154349389
  • Provider Name: STEPHANIE ANN PORTER, M.D.
  • Classification: Pediatrics - 208000000X
  • Entity Type: Individual
  • Address: 3564 N FOURTH ST STE A
    LONGVIEW, TX
    ZIP 75605
  • Phone: (903) 230-3311

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NPI Details

Stephanie Ann Porter, M.D. is a pediatrics in Longview, TX. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Stephanie Ann Porter, M.D. NPI is 1154349389. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3564 N FOURTH ST STE A
LONGVIEW, TX
ZIP 75605-039
Phone: (903) 230-3311
Fax: (903) 230-3312

The enumeration date for this NPI number is 7/17/2006 and was last updated on 11/20/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsL3841TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1K0122980OTHERTEXASCONTROLLED SUBSTANCE REGI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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