Individual
MACY RAE KEENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM,CPM
Contact information
Practice address
5401 N FM 157, VENUS, TX 76084-3249
(940) 206-4612
Mailing address
102 CATTLEMANS CREEK RD, NEWARK, TX 76071-4327
(940) 206-4612
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
99614
TX
Other
Enumeration date
07/21/2025
Last updated
07/21/2025
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