Individual
CHARLES JOSEPH KEITH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 E LAKE ST STE 150, TYLER, TX 75701-3357
(903) 593-0230
(903) 371-7374
Mailing address
PO BOX 130549, TYLER, TX 75713-0549
(903) 579-3931
(903) 509-5835
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
S0474
TX
Other
Enumeration date
04/24/2013
Last updated
12/31/2019
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