Healthcare Provider Details

I. General information

NPI: 1902610561
Provider Name (Legal Business Name): HEATHER LOUISE KEIR MBCHB
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HEATHER LOUISE SALISBURY MBCHB

II. Dates (important events)

Enumeration Date: 02/04/2025
Last Update Date: 07/28/2025
Certification Date: 07/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6621 FANNIN ST
HOUSTON TX
77030-2399
US

IV. Provider business mailing address

6621 FANNIN ST
HOUSTON TX
77030-2399
US

V. Phone/Fax

Practice location:
  • Phone: 832-388-2114
  • Fax:
Mailing address:
  • Phone: 832-388-2114
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0213X
TaxonomyPediatric Pathology Physician
License Number48726
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: