Healthcare Provider Details

I. General information

NPI: 1225356975
Provider Name (Legal Business Name): KEETON HEALTHCARE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2010
Last Update Date: 08/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7324 SW FWY SUITE 465
HOUSTON TX
77074-2012
US

IV. Provider business mailing address

7324 SW FWY SUITE 465
HOUSTON TX
77074-2012
US

V. Phone/Fax

Practice location:
  • Phone: 713-771-0081
  • Fax: 713-771-1458
Mailing address:
  • Phone: 713-771-0081
  • Fax: 713-771-1458

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2279H0200X
TaxonomyHome Health Registered Respiratory Therapist
License Number67690
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number0090558
License Number StateTX

VIII. Authorized Official

Name: MR. ALLAN G KEETON JR.
Title or Position: CEO/PRESIDENT
Credential: MBA
Phone: 713-771-0081