Individual
KEITH A POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1472 N. HAMPTON ROAD SUITE 111, DESOTO, TX 75115-3033
(972) 224-4015
(972) 224-4339
Mailing address
PO BOX 425, CEDAR HILL, TX 75106-0425
(972) 224-4015
(972) 224-4339
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Enumeration date
12/12/2008
Last updated
12/12/2008
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