Organization
DALE KEYWORTH PT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DALE B KEYWORTH PT, M ED (CEO)
(713) 516-1443
Entity
Organization
Contact information
Practice address
5320 DORA ST, HOUSTON, TX 77005-1818
(713) 523-9482
(713) 523-9486
Mailing address
5320 DORA ST, HOUSTON, TX 77005-1818
(713) 523-9482
(713) 523-9486
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1009843
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1009843
PHYSICAL THERAPIST LICENSE NUMBER
TX
01
—
1134102148
INDIVIDUAL NPI
TX
Enumeration date
06/26/2008
Last updated
12/02/2010
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