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Individual

DR. JAMES KEITH KEELING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
409 COTTAGE RD, CARTHAGE, TX 75633-1466
(903) 694-6626
Mailing address
PO BOX 549, CARTHAGE, TX 75633-0549
(903) 693-6626

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
E8614
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
063445302
TX
05
063445303
TX
01
8F2650
BLUE CROSS OF TEXAS
TX
Enumeration date
05/24/2006
Last updated
08/11/2011
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