Organization
KEENE & KEENE MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER H KEENE M.D. (PRESIDENT)
(956) 722-9918
Entity
Organization
Contact information
Practice address
6801 MCPHERSON AVE, SUITE 331, LAREDO, TX 78041-6417
(956) 722-9918
(956) 722-0829
Mailing address
PO BOX 450329, LAREDO, TX 78045-0007
(956) 722-9918
(956) 722-0829
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
D2893
TX
207Y00000X
Otolaryngology Physician
Primary
D2894
TX
208000000X
Pediatrics Physician
D2893
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017657002
—
TX
05
—
089809003
—
TX
05
—
121446205
—
TX
Enumeration date
01/08/2008
Last updated
07/19/2013
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