Individual
JOHN KEENE WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4708 ALLIANCE BLVD STE 540, PLANO, TX 75093-5339
(469) 800-6200
(469) 800-6210
Mailing address
4064 STANFORD AVE, DALLAS, TX 75225-7005
(214) 470-7928
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
Q8182
TX
Other
Enumeration date
05/10/2010
Last updated
09/25/2018
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