Thomas Deporter, MD, PA
Thomas Deporter, MD, PA is a Medical Specialty Clinic/Center in Benbrook, Texas. Registered with an NPI since 2023.
- In the registry since
- 2023
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
6410 SW Blvd Ste 100Benbrook, TX 76109-3918
Phone: (682) 224-1703
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Specialty Clinic/Center (primary) | Taxonomy 261QM2500X |
|---|
Record details
| NPI number | 1407530413 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Thomas Deporter — Owner · (682) 224-1703 |
| NPI enumerated | June 12, 2023 |
| Last updated in NPPES | June 12, 2023 |
| Certification date | June 10, 2023 |
| Mailing address | 6410 Southwest Blvd Ste 100, Benbrook, TX 76109-3918 |