Individual
ELIA KECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-C
Contact information
Practice address
16620 N US HIGHWAY 281, STE 300, SAN ANTONIO, TX 78232-2327
(210) 614-1231
(210) 616-0704
Mailing address
16620 N US HIGHWAY 281, STE 300, SAN ANTONIO, TX 78232-2327
(210) 614-1231
(210) 616-0704
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
254645
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173872601
—
TX
Enumeration date
03/01/2006
Last updated
08/08/2012
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