Individual
KEITH RALPH STORTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3201 MATLOCK RD STE 220, ARLINGTON, TX 76015-2947
(817) 468-1506
Mailing address
3201 MATLOCK RD STE 220, ARLINGTON, TX 76015-2947
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
J0292
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125798202
—
TX
Enumeration date
06/02/2005
Last updated
11/21/2024
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