Individual provider · Type 1 NPI

Keenan Ross Dickens, DO

Military Health Care Provider · San Antonio, TX

NPI number 1881497329 Active

Practice location

3551 Roger Brooke Dr
San Antonio, TX 78234-4504

Call (210) 539-9594 Map

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000XNone listed

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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About NPI 1881497329

Keenan Ross Dickens, DO's National Provider Identifier is 1881497329, issued on Mar 31, 2025. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in San Antonio, TX. The record was last updated on Apr 16, 2025.