Individual
ANZAC KEEHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9304 FOREST LN STE S238, DALLAS, TX 75243-6238
(801) 671-1713
Mailing address
9304 FOREST LN STE S238, DALLAS, TX 75243-6238
(801) 671-1713
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
TX
Other
Enumeration date
10/13/2015
Last updated
12/06/2015
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