Organization
RACHAEL KEILIN MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN HUGGINS (BILLER)
(903) 667-7557
Entity
Organization
Contact information
Practice address
2717 SUMMERHILL RD, TEXARKANA, TX 75503-3957
(903) 794-0022
(903) 794-0023
Mailing address
2717 SUMMERHILL RD, TEXARKANA, TX 75503-3957
(903) 794-0022
(903) 794-0023
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0032QP
BLUE CROSS BLUE SHIELD
TX
01
—
0049MB
BLUE CROSS BLUE SHIELD
TX
05
—
100845210C
—
OK
05
—
155950002
—
AR
05
—
175716301
—
TX
01
—
82479
BLUE CROSS BLUE SHIELD
AR
Enumeration date
10/18/2007
Last updated
02/09/2012
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