Individual
DR. C. KEITH STONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
L7200
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1580920-01
—
TX
01
—
1580920-02
CSHCN
TX
01
—
8H8617
BLUE SHIELD
TX
01
—
P00019590
RR/MEDICARE
TX
Enumeration date
04/04/2006
Last updated
11/05/2020
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