Individual
KEISHA WILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
12881 N IH 35, LIVE OAK, TX 78233-2966
(210) 742-6555
Mailing address
12881 N IH 35, LIVE OAK, TX 78233-2966
(210) 742-6555
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
1091562
TX
Other
Enumeration date
07/08/2025
Last updated
05/07/2026
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