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Organization

DAN KEECH MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KERRI MELISSA KEECH (PRACTICE ADMINISTRATOR)
(903) 675-2222
Entity
Organization

Contact information

Practice address
1701 S PALESTINE ST STE B, ATHENS, TX 75751-8951
(903) 675-2222
(903) 675-1838
Mailing address
1701 S PALESTINE ST STE B, ATHENS, TX 75751-8951
(903) 675-2222
(903) 675-1838

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
160519801
TPI
TX
05
160519801
TX
Enumeration date
01/11/2007
Last updated
09/29/2008
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