Individual
DR. KEITH ARNOLD WIED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
950 N 14TH ST STE 100, BEAUMONT, TX 77702-1112
(409) 833-5858
(409) 833-1155
Mailing address
950 N 14TH ST, SUITE 100, BEAUMONT, TX 77702-1101
(409) 833-5858
(409) 833-1155
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
J2411
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128359005
—
TX
01
—
88G457
BCBS
TX
Enumeration date
04/26/2006
Last updated
07/23/2019
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