Individual
DR. RHETT KEYSER FREDRIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
909 9TH AVE, SUITE 402, FORT WORTH, TX 76104-3903
(817) 338-9291
(817) 335-2817
Mailing address
909 9TH AVE, SUITE 402, FORT WORTH, TX 76104-3903
(817) 338-9291
(817) 335-2817
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
E0011
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110056584
MEDICARE RAILROAD
—
05
—
175908601
—
TX
05
—
175911001
—
TX
05
—
175911002
—
TX
01
—
8AJ539
BCBS
TX
01
—
8CQ911
BCBS
TX
Enumeration date
11/22/2005
Last updated
03/24/2011
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