Individual
DR. RACHAEL AUDREY KEILIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD PA
Contact information
Practice address
2717 SUMMERHILL RD, TEXARKANA, TX 75503
(903) 794-0022
(903) 794-0023
Mailing address
2717 SUMMERHILL RD, TEXARKANA, TX 75503
(903) 794-0022
(903) 794-0023
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
L3357
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0049MB
TX BCBS
TX
05
—
100845210B
—
OK
05
—
146628001
—
AR
05
—
150050603
—
TX
01
—
82479
AR BCBS
AR
01
—
8AJ747
BLUE CROSS BLUE SHIELD
TX
Enumeration date
05/11/2006
Last updated
02/16/2012
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