Healthcare Provider Details

I. General information

NPI: 1861237000
Provider Name (Legal Business Name): KEIR PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2024
Last Update Date: 06/28/2024
Certification Date: 06/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6500 N 10TH ST STE C
MCALLEN TX
78504-2114
US

IV. Provider business mailing address

2720 HART ST
EDINBURG TX
78539-0298
US

V. Phone/Fax

Practice location:
  • Phone: 956-296-1960
  • Fax:
Mailing address:
  • Phone: 956-296-1960
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: KEILA RODRIGUEZ
Title or Position: OWNER
Credential: MD
Phone: 713-703-2058