THOMAS DEPORTER, MD, PA is a medical specialty clinic center in Benbrook, TX. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). THOMAS DEPORTER, MD, PA NPI is 1407530413. The provider is registered as an organization entity type.
The provider's business location address is:
6410 SOUTHWEST BLVD STE 100
BENBROOK, TX
ZIP 76109-918
Phone: (682) 224-1703
The provider's authorized official is Thomas Elden Deporter .
The authorized official title is Owner and has the following contact phone number (682) 224-1703.
The enumeration date for this NPI number is 6/12/2023 and was last updated on 6/12/2023.