Individual
KEITH EDWARD JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
2001 N JEFFERSON AVE, MOUNT PLEASANT, TX 75455-2338
(903) 577-6000
Mailing address
PO BOX 511, MOUNT PLEASANT, TX 75456-0511
(903) 577-6000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
699953
TX
367500000X
Certified Registered Nurse Anesthetist
71379
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166171202
—
TX
Enumeration date
06/07/2006
Last updated
09/21/2018
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