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Individual

ALAN WADE KEISTER

Active
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Individual

ALAN WADE KEISTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K9315
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0055MB
BCBS
TX
05
038789602
TX
01
116563101
FIRST CARE
TX
01
K9315
STATE LICENSE
TX
Enumeration date
06/12/2006
Last updated
09/25/2025
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