Search › Louisiana › 177F00000X
Clyde Portis
NPI 1699599035 · on the registry since 2024 · sole proprietor
Practice
- Address
- 377 Charles Miller Rd
Hornbeck, LA 71439 - Phone
- (346) 435-4892
Registry record
- Primary taxonomy
- 177F00000X
177F00000X
- Sex
- Male
- Record last updated
- 2024-11-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana