Individual
MIESHA N. KEATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5260 S HULEN ST, FORT WORTH, TX 76132-1912
(817) 908-2740
Mailing address
9008 OLD CLYDESDALE DR, FORT WORTH, TX 76123-3546
(817) 908-2740
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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