Individual
LEE KEEGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
345 CYPRESS CREEK RD, STE 104, CEDAR PARK, TX 78613-4483
(512) 336-2777
(512) 336-2778
Mailing address
PO BOX 52001, DEPT 923, PHOENIX, AZ 85072-2001
(512) 336-2777
(512) 336-2778
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
N6897
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
214041001
—
TX
Enumeration date
06/11/2007
Last updated
01/03/2012
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