# MARISSA C. KEENE,M.D. PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255416640
- **Authorized official:** DR. MARISSA C. KEENE (SOLE PROPRIETOR)
- **Authorized official phone:** (956) 729-7525

## Contact information

- **Practice address:** 6826 SPRINGFIELD AVE, SUITE 102, LAREDO, TX 78041-2213
- **Practice address phone:** (956) 729-7525
- **Practice address fax:** (956) 729-8524
- **Mailing address:** 6826 SPRINGFIELD AVE, SUITE 102, LAREDO, TX 78041-2213
- **Mailing address phone:** (956) 729-7525
- **Mailing address fax:** (956) 729-8524

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | K5578 | TX | Yes |

## Other

- **Enumeration date:** 10/26/2006
- **Last updated:** 08/22/2020
