Healthcare Provider Details

I. General information

NPI: 1063530103
Provider Name (Legal Business Name): DR RICHARD KEH PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2007
Last Update Date: 03/01/2021
Certification Date: 03/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 CAMDEN ST STE 309
SAN ANTONIO TX
78215-2013
US

IV. Provider business mailing address

311 CAMDEN ST STE 309
SAN ANTONIO TX
78215-2013
US

V. Phone/Fax

Practice location:
  • Phone: 210-225-8822
  • Fax: 210-225-8987
Mailing address:
  • Phone: 210-225-8822
  • Fax: 210-225-8987

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberJ9400
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number1137
License Number StateTX

VIII. Authorized Official

Name: RICHARD A KEH
Title or Position: PRESIDENT
Credential: DPM
Phone: 210-225-8882