Individual
KEITH RACKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1141 N LOOP 1604 E # 105-421, SAN ANTONIO, TX 78232-1339
(907) 230-6567
Mailing address
1141 N LOOP 1604 E # 105-421, SAN ANTONIO, TX 78232-1339
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP131922
TX
Other
Enumeration date
09/26/2016
Last updated
10/09/2025
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