Individual
MR. KEITH DEAN DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NREMT-PARAMEDIC
Contact information
Practice address
12609 JAVEA DR, AUSTIN, TX 78739-1541
(737) 400-1009
Mailing address
12609 JAVEA DR, AUSTIN, TX 78739-1541
(737) 400-1009
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
M0947383
TX
Other
Enumeration date
01/11/2020
Last updated
01/11/2020
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