Keister, Alan Wade
Keister, Alan Wade is an individual health care provider with primary practice located at 1215 S Coulter St Suite #301, Amarillo TX 79106-1758. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Keister, Alan Wade can be contacted via phone (806) 355-9741.Contact Information
Primary practice address
1215 S Coulter St Suite #301
Amarillo TX 79106-1758
Phone: (806) 355-9741
Fax: (806) 356-0045
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | K9315 | Texas |
Profile Details
| NPI number | 1255373635 |
|---|---|
| LBN Legal business name | Keister, Alan Wade |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Dec 1st, 2023 - about 2 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255373635 | NPPES |
| Texas | Other | K9315 | STATE LICENSE |
| Texas | Other | 0055MB | STATE LICENSE |
| Texas | MEDICAID | 038789602 | STATE LICENSE |
| Texas | Other | 116563101 | STATE LICENSE |
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