Individual provider · Type 1 NPI

Keith Mycal Bridges

Family Nurse Practitioner · Burleson, TX

NPI number 1811580814 Active

Practice location

11801 South Fwy
Burleson, TX 76028-7021

Mailing address

2705 Hartman Cir
Mansfield, TX 76063-4283

Other practice locations

  • 2300 Lone Star Rd, Mansfield, TX 76063-8744 · (682) 341-5000

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse First Assistant 163WR0006X895421 (TX)
Family Nurse Practitioner Primary 363LF0000X1126443 (TX)

Family Nurse Practitioner: Definition to come...

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About NPI 1811580814

Keith Mycal Bridges's National Provider Identifier is 1811580814, issued on Feb 19, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Burleson, TX. The record was last updated on Jun 5, 2024.