Individual
KEITH LEPAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2700 E ELDORADO PKWY, STE 104, LITTLE ELM, TX 75068-5999
(972) 987-4935
(972) 987-4574
Mailing address
6501 PRESTON RD, STE 102, PLANO, TX 75024-2610
(972) 403-1155
(972) 608-0044
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
H9670
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133591103
—
TX
Enumeration date
02/23/2006
Last updated
02/23/2015
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