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Individual

DR. KEAK C KHAUV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
11212 MONTWOOD DR, EL PASO, TX 79936
(915) 595-4300
(915) 595-4301
Mailing address
11212 MONTWOOD DR, EL PASO, TX 79936-4241
(915) 595-4300
(915) 595-4301

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
L8762
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
002475649001
UNITED HEALTH CARE
TX
05
177304603
TX
01
7239659
AETNA INS
TX
01
9554971
CIGNA INS
TX
Enumeration date
08/13/2006
Last updated
05/01/2024
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