CLYDE D PORTIS
NPI 1699599035
Lodging in Hornbeck, LA
- Individual
- Male
- Lodging
About CLYDE PORTIS
This page provides the complete NPI Profile along with additional information for Clyde Portis, a provider established in Hornbeck, Louisiana with a medical specialization in Lodging. The healthcare provider is registered in the NPI registry with number 1699599035 assigned on November 2024. The practitioner's primary taxonomy code is 177F00000X. The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1699599035 Verify this NPI
- Provider Name
- CLYDE D PORTIS
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 377 CHARLES MILLER RD HORNBECK, LA 71439
- Location Phone
- (346) 435-4892
- Mailing Address
- 377 CHARLES MILLER RD HORNBECK, LA 71439
- Mailing Phone
- (346) 435-4892
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 11-12-2024
- Last Update Date
- 11-12-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Lodging
- Taxonomy Code
- 177F00000X
- Type
- Other Service Providers
- Taxonomy Description
- A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1699599035, enumerated as an "individual" on November 12, 2024.
The provider is located at 377 CHARLES MILLER RD HORNBECK, LA 71439 and the phone number is (346) 435-4892.
Lodging with taxonomy code 177F00000X.