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Organization

J KEITH PRESTON MD PA

Active
Parent organization
J KEITH PRESTON MD PA
Other names
Regional Neurosurgical Associates
Organization subpart
Yes

Provider details

NPI number
Legal business name
J KEITH PRESTON MD PA
Authorized official
JOSEPH KEITH PRESTON MD (PRESIDENT/PHYSICIAN)
(903) 784-7959
Entity
Organization

Contact information

Practice address
4015 LAMAR AVE, PARIS, TX 75462-5212
(903) 784-7959
(903) 784-7969
Mailing address
4015 LAMAR AVE, PARIS, TX 75462-5212
(903) 784-7959
(903) 784-7969

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
L5880
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00X132
MEDICARE
Enumeration date
12/12/2006
Last updated
11/03/2016
Update your record

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