THOMAS DEPORTER, MD, PA
NPI 1407530413
Clinic/Center - Medical Specialty in Benbrook, TX

Q: What is Thomas Deporter, MD, PA's NPI number?

The NPI number for Thomas Deporter, MD, PA is 1407530413. It was assigned to this organization in the NPPES registry on June 12, 2023.

Q: What is Thomas Deporter, MD, PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Active since June 12, 2023

6410 SOUTHWEST BLVD STE 100, BENBROOK, TX 76109(682) 224-1703 Get Directions Write a Review

NPPES record last updated: June 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Thomas Deporter, Md, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THOMAS DEPORTER, MD, PA (NPI 1407530413) is a healthcare organization registered as a medical specialty in Benbrook, Texas and active in the NPI registry since June 2023. The organization lists Thomas Elden Deporter, Owner, as its authorized official.

NPPES Registry Identity

NPI1407530413

Entity TypeOrganization

Primary Taxonomy261QM2500X

Legal Business NameTHOMAS DEPORTER, MD, PA

Location Address6410 SOUTHWEST BLVD STE 100Benbrook, TX 76109-3918

Mailing Address6410 Southwest Blvd Ste 100Benbrook, TX 76109-3918 · (682) 224-1703

Phone(682) 224-1703

Organization SubpartNo

Authorized OfficialThomas Elden DeporterOwner · (682) 224-1703

Enumeration DateJune 12, 2023

NPPES CertifiedJune 10, 2023

✔ NPI 1407530413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM2500X

Definition

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).

6410 SOUTHWEST BLVD STE 100, Benbrook, TX 76109

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomas Deporter, MD, PA's NPI number?

The NPI number for Thomas Deporter, MD, PA is 1407530413. It was assigned to this organization in the NPPES registry on June 12, 2023.

Where is Thomas Deporter, MD, PA located?

Thomas Deporter, MD, PA is located at 6410 Southwest Blvd Ste 100, Benbrook, TX 76109. The listed phone number is (682) 224-1703.

What is Thomas Deporter, MD, PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Thomas Deporter, MD, PA was last updated on June 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.