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General NPI Number Information
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NPI Number | 1013431535
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Entity Type | Individual
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Provider Name | CHRISTINA NANETTE KEITH
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Gender | Female
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Dates
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Enumeration Date | 07/26/2017
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 590 MEDICAL CENTER ROAD
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City | FORT CAVASOS
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State | TX
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Zip | 76544
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Country | US
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Telephone | 254-553-6008
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Fax |
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Provider Business Mailing Address
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Address Line | 14544 KUYKENDALL MOUNTAIN RD
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City | TEMPLE
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State | TX
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Zip | 76502-6569
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Country | US
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Telephone | 254-371-0839
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 7139
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP135661
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License Number State | TX
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