Boris Porto, M.d., P.a.
Psychiatry | Child & Adolescent Clinic
4412 74th St, Suite E102, Lubbock
Texas, 79424-2328
806-792-7843 806-792-7675
Maps & DirectionsBoris Porto, M.d., P.a. is a Psychiatry | Child & Adolescent Clinic in Lubbock, Texas. It is located at 4412 74th St, Suite E102, Lubbock, TX and its contact number is 806-792-7843. The authorized person for Boris Porto, M.d., P.a. is Boris Porto
who is President of the clinic and his/her contact number is 806-771-1386. The primary license number for Boris Porto, M.d., P.a. is H4621 (Psychiatry) in Texas.
Boris Porto, M.d., P.a. Clinic has mental health professionals having additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Complete Clinic Profile:
Boris Porto, M.d., P.a. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Boris Porto, M.d., P.a. |
| Specialization: | Child & Adolescent |
| Clinic Address: | 4412 74th St, Suite E102, Lubbock,
Texas, 79424-2328 |
| Phone: | 806-792-7843 |
| Fax: | 806-792-7675 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Boris Porto |
| Position: | President |
| Contact Number: | 806-771-1386 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Boris Porto, M.d., P.a. clinic are as mentioned below.
| NPI Number: | 1215196142 |
| NPI Enumeration Date: | 05 Jun, 2008 |
| NPI Last Update On: | 05 Jun, 2009 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Boris Porto, M.d., P.a. are as mentioned below.
| Specialization | License Number | State | Status | |
| Psychiatry | H4621 | Texas | Primary | |
| Child & Adolescent Psychiatry | H4621 | Texas | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 199787601 | Medicaid | Texas | |
| 0069RQ | Other | Texas | Blue Cross Blue Shield |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Boris Porto, M.d., P.a.
Po Box 54136,
Lubbock, Texas |
| Zip: | 79453-4136 |
| Phone Number: | 806-771-1386 |
| Fax Number: | 806-771-1388 |
Patients can reach Boris Porto, M.d., P.a. at
4412 74th St, Suite E102, Lubbock, Texas or can
call to book an appointment on 806-792-7843.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.