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NPI Code Detail

MEDICARE: KEILA SANTOS- CRESPO

MEDICARE: KEILA SANTOS- CRESPO
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
1103TC0700XClinical Psychologist38487TX

General Provider Information

NPI Number : 1841612249
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEILA SANTOS- CRESPO
Provider Business Mailing Address
First Line : PO BOX 241
Second Line :
City : KEENE
State : TX
Zip : 76059-0241
Country : US
Telephone Number : 939-645-1555
Fax Number : 817-755-1740
Provider Business Practice Location Address
First Line : 904 N MAIN ST STE C
Second Line :
City : CLEBURNE
State : TX
Zip : 76033-3803
Country : US
Telephone Number : 939-645-1555
Fax Number : 817-558-7566
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2014
Last Update Date : 09/20/2025

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Directions to “ KEILA SANTOS- CRESPO ” Practice Location

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