Individual
MS. COLLEEN ALYSSA KEOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1709 DRYDEN RD, # 5.70, HOUSTON, TX 77030-2400
(713) 798-0190
Mailing address
1709 DRYDEN RD, # 5.70, HOUSTON, TX 77030-2400
(713) 798-0190
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
BP10042713
TX
208000000X
Pediatrics Physician
BP10042713
TX
Other
Enumeration date
05/24/2012
Last updated
05/24/2012
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