Bridges, Keith Mycal

Bridges, Keith Mycal is an sole proprietor health care provider with primary practice located at 11801 South Fwy , Burleson TX 76028-7021. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse First Assistant, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Bridges, Keith Mycal can be contacted via phone (817) 293-9110.

Contact Information

Primary practice address
11801 South Fwy Burleson TX 76028-7021
Phone: (817) 293-9110
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse First Assistant 163WR0006X 895421 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1126443 Texas

Profile Details

NPI number 1811580814
LBN Legal business name Bridges, Keith Mycal
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 19th, 2021
Last updated Jun 5th, 2024 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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