Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEITH N BLACK, DO
ActiveKEITH N BLACK, DO is a Family Medicine healthcare provider located in PANHANDLE, Texas. NPI 1386668267 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · PANHANDLE, TX
Registration Details
- NPI Number
- 1386668267
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 26, 2006 (20.049459720356 yrs)
- Last Updated
- Mar 1, 2012
- Licenses
-
E9543 (TX)1793 (OK)0320000253 (VT)
Practice Information
- Address
-
421 MAIN STREETPANHANDLE, TX, 79068Browse TX providers · Browse ZIP 79068
- Phone
- 8065322273
- Fax
- 8065322276
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
- Additional Specialty
- Family Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.