Individual provider · Type 1 NPI
Keith Vincent McInnerney, PA-C
Medical Physician Assistant · Southlake, TX
NPI number
1972901650
Active
Practice location
630 N Kimball Ave Ste 100
Southlake, TX 76092-6886
Other practice locations
- 908 N Rockford Rd, Suite A, Ardmore, OK 73401-2540 · (580) 226-7771
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant | 363AM0700X | 2585 (OK) |
| Medical Physician Assistant Primary | 363AM0700X | PA09502 (TX) |
Medical Physician Assistant: Definition to come...
2 other providers at this address
Other medical physician assistant providers in Southlake
- Marianita A. Vela, P.A.-CMedical Physician Assistant Southlake, TX NPI 1215071592
- Brittany PadgettMedical Physician Assistant Southlake, TX NPI 1215755814
- Hannah Grace Endres, PA-CMedical Physician Assistant Southlake, TX NPI 1487550661
- Meghan Nicole McMahon, PA-CMedical Physician Assistant Southlake, TX NPI 1710576954
- Reema Sacks, PA-CMedical Physician Assistant Southlake, TX NPI 1871868232
About NPI 1972901650
Keith Vincent McInnerney, PA-C's National Provider Identifier is 1972901650, issued on Dec 12, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Southlake, TX. The record was last updated on Mar 10, 2021.