Individual
KEITH FISHBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3816 N UNIVERSITY DR, NACOGDOCHES, TX 75965-2011
(903) 939-7500
Mailing address
3414 GOLDEN RD, TYLER, TX 75701-8336
(903) 939-7500
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
U2839
TX
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
U2839
TX
Other
Enumeration date
03/15/2017
Last updated
05/02/2025
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