Individual
DR. JACK C. KEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
408 STONE MOUNTAIN CT, CRESSON, TX 76035-5628
(817) 512-3006
Mailing address
408 STONE MOUNTAIN CT, CRESSON, TX 76035-5628
(817) 512-3006
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G4144
TX
Other
Enumeration date
01/15/2013
Last updated
01/15/2013
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