Storts, Keith R

Storts, Keith R is an individual health care provider with primary practice located at 505 Omega Dr , Arlington TX 76014-2004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Storts, Keith R can be contacted via phone (817) 468-3255.

Contact Information

Primary practice address
505 Omega Dr Arlington TX 76014-2004
Fax: (817) 468-7823
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X J0292 Texas

Profile Details

NPI number 1184626137
LBN Legal business name Storts, Keith R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2005
Last updated Nov 9th, 2010 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184626137 NPPES
Texas MEDICAID 125798202

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