Individual
GLADYS C. KEENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6801 MCPHERSON RD, SUITE 331, LAREDO, TX 78041-6417
(956) 722-9918
(956) 722-0829
Mailing address
P.O. BOX 450329, LAREDO, TX 78045
(956) 722-9918
(956) 722-0829
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
D2893
TX
207KA0200X
Allergy Physician
D2893
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121446201
—
TX
05
—
121446205
—
TX
Enumeration date
06/18/2006
Last updated
07/19/2013
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