Individual
KEITH LEDFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1501 W 11TH PL, SUITE 200, BIG SPRING, TX 79720-4119
(432) 264-7180
Mailing address
1501 W 11TH PL, SUITE 200, BIG SPRING, TX 79720-4119
(432) 264-7180
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
L5968
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156955001
—
TX
01
—
8F9502
BCBS OF TX
TX
Enumeration date
07/19/2005
Last updated
01/16/2015
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