Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | 1137 | TX |
NPI | 1386647691 |
---|---|
Provider Name | Dr. Richard Anthony Keh |
First Address | San Antonio, TX 78215-2013 |
Second Address | San Antonio, TX 78215-2013 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2005 |
Last Update Date | 01/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
127202302 | (05) | TX |
U05473 | (02) | TX |