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NPI Code Detail

MEDICARE: KEITH D HOUGH M.D.

MEDICARE:   KEITH D HOUGH  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianC7704AR

General Provider Information

NPI Number : 1295732758
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEITH D HOUGH M.D.
Provider Business Mailing Address
First Line : 14 BELLE RIVER CIR
Second Line :
City : MAUMELLE
State : AR
Zip : 72113-7025
Country : US
Telephone Number : 501-851-2382
Fax Number : 501-803-4620
Provider Business Practice Location Address
First Line : 14309 CANTRELL RD
Second Line : SUITE 7
City : LITTLE ROCK
State : AR
Zip : 72223-4217
Country : US
Telephone Number : 501-224-6727
Fax Number : 501-224-0374
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2005
Last Update Date : 10/30/2007

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Directions to “ KEITH D HOUGH M.D.” Practice Location

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