Organization
C. KEITH GRISHAM, M.D. , P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
C KEITH GRISHAM M.D. (PHYSICIAN OWNER)
(972) 781-1515
Entity
Organization
Contact information
Practice address
3108 MIDWAY RD, SUITE 200, PLANO, TX 75093-6383
(972) 971-1515
(972) 781-1313
Mailing address
3108 MIDWAY RD, SUITE 200, PLANO, TX 75093-6383
(972) 971-1515
(972) 781-1313
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
K9791
TX
207VG0400X
Gynecology Physician
K9791
TX
207VX0000X
Obstetrics Physician
Primary
K9791
TX
Other
Enumeration date
12/01/2006
Last updated
09/11/2025
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