Keely Walgama
Endodontist
1005 Long Prairie Rd Ste 100
Flower Mound
, Texas 75022-4232
Keely Walgama
Endodontist
1005 Long Prairie Rd Ste 100
Flower Mound
, Texas 75022-4232
(512) 633-3423
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About
Features
Specialties
- Endodontist
Languages spoken
- English
Location
First Address
- Keely Walgama
- 1005 Long Prairie Rd Ste 100
- Flower Mound, TX
- Zip : 75022-4232
- Phone : (512) 633-3423
Second Address
- Keely Walgama
- 1005 Long Prairie Rd Ste 100
- Flower Mound, TX
- Zip : 75022-4232
- Phone : (512) 633-3423
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223E0200X | Endodontist | 36261 | TX |
National Provider Identifier
| NPI | 1063030815 |
|---|---|
| Provider Name | Keely Walgama |
| First Address | Flower Mound, TX 75022-4232 |
| Second Address | Flower Mound, TX 75022-4232 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/07/2020 |
| Last Update Date | 08/07/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.