Organization
KEITH W LOUDEN M D PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH WARD LOUDEN MD (PHYSICIAN)
(817) 336-7188
Entity
Organization
Contact information
Practice address
5632 EDWARDS RANCH RD., SUITE 100, FORT WORTH, TX 76109
(817) 336-7188
(844) 231-8865
Mailing address
5632 EDWARDS RANCH RD., SUITE 100, FORT WORTH, TX 76109
(817) 336-7188
(844) 231-8865
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
K2062
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
153023001
—
TX
Enumeration date
07/07/2005
Last updated
01/08/2020
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