MEDICARE: DR. RICHARD L KEIGER MD

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
1	207P00000X	Emergency Medicine Physician	K0860	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	85401B	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1578502928
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD L KEIGER MD

Provider Business Mailing Address
First Line	:	6215 REDWOOD BRIDGE TRL
Second Line	:
City	:	KINGWOOD
State	:	TX
Zip	:	77345-2220
Country	:	US
Telephone Number	:	210-863-2184
Fax Number	:

Provider Business Practice Location Address
First Line	:	22999 HIGHWAY 59 N
Second Line	:
City	:	KINGWOOD
State	:	TX
Zip	:	77339-4412
Country	:	US
Telephone Number	:	281-348-8560
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/04/2006
Last Update Date	:	04/03/2020

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