Individual provider · Type 1 NPI
Gary Don Keel, PA-C
Medical Physician Assistant · Fort Worth, TX
NPI number
1801036868
Active
Practice location
#1 Lockheed Blvd., Lockheed Martin Aeronautics Company
Fort Worth, TX 76108
Fax (817) 777-1956
Mailing address
3106 Walnut Creek Pkwy
Granbury, TX 76049-7916
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA02112 (TX) |
Medical Physician Assistant: Definition to come...
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About NPI 1801036868
Gary Don Keel, PA-C's National Provider Identifier is 1801036868, issued on Mar 3, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fort Worth, TX. The record was last updated on Mar 4, 2009.