Individual
TIFFANY KEOGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8403 STATE HIGHWAY 151 STE 104-433, SAN ANTONIO, TX 78245-2199
(254) 290-7970
Mailing address
8403 STATE HIGHWAY 151 STE 104-433, SAN ANTONIO, TX 78245-2199
(254) 290-7970
Taxonomy
Speciality
Code
Description
License number
State
246YR1600X
Registered Record Administrator
Primary
—
—
Other
Enumeration date
07/25/2017
Last updated
07/21/2022
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