Individual
JANET RENE KEAIS-GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
910 E HOUSTON ST, STE 330, TYLER, TX 75702-8368
(903) 525-7995
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6450
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
39234-021
WI
208100000X
Physical Medicine & Rehabilitation Physician
DO000054
LA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
N4513
TX
Other
Enumeration date
04/17/2006
Last updated
02/09/2018
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