Individual
DR. KEISHA YAHAGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 927-3636
Mailing address
3840 HULEN ST, FORT WORTH, TX 76107-7277
(817) 569-4395
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
BP10040220
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
354408201
—
TX
01
—
8FR668
BCBS
TX
Enumeration date
07/01/2013
Last updated
01/30/2026
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