Most Relevant Information
Provider Data
| NPI Number: | 1003665811 |
| Provider Name: | KEATON DUTY DO |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/14/2024 |
| Last Updated: | 05/14/2024 |
Provider Practice Location
11212 STATE HIGHWAY 151
SAN ANTONIO
TX
782514498
Practice Location Phone/Fax
| Phone: | 2107038000 |
| Fax: |
Provider Mailing Location
11212 STATE HIGHWAY 151
SAN ANTONIO
TX
782514498
Provider Mailing Phone/Fax
| Phone: | 2107038000 |
| Fax: |