| Carmen Keith, MD | |
|
6000 Northern Pass Dr Ste A100, El Paso, TX 79911-7206 | |
| (915) 600-2905 | |
| (915) 600-7590 |
| Full Name | Carmen Keith |
|---|---|
| Gender | Female |
| Speciality | Pain Medicine - Pain Medicine |
| Location | 6000 Northern Pass Dr Ste A100, El Paso, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730308065 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 2011034021 (Missouri) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | 2011034021 (Missouri) | Primary |
| Entity Name | East Texas Functional Medicine Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245847672 PECOS PAC ID: 7911319496 Enrollment ID: O20201208001745 |
| Mailing Address | Practice Location Address |
|---|---|
| Carmen Keith, MD 6000 Northern Pass Dr Ste A100, El Paso, TX 79911-7206 Ph: (915) 600-2905 | Carmen Keith, MD 6000 Northern Pass Dr Ste A100, El Paso, TX 79911-7206 Ph: (915) 600-2905 |
Dr. Eduardo Genaro Vazquez, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 3215 Gateway Blvd W, El Paso, TX 79903 Phone: 915-598-7246 Fax: 915-633-6598 | |
Dr. Carlos Eduardo Trigo, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 11380 Gateway Blvd N Ste 101, El Paso, TX 79934 Phone: 915-598-7246 Fax: 915-633-6598 | |
Jose Luis Villarreal, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 5652 N Mesa, El Paso, TX 79912 Phone: 915-351-1155 Fax: 915-351-1230 | |
Dr. Manouchehr Refaeian, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 10412 Vista Del Sol Dr Ste 1b, El Paso, TX 79925 Phone: 915-233-4026 Fax: 915-233-4026 | |
Anthony Frances Valdez, M.D. Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 9001 Cashew Dr, Ste. 100, El Paso, TX 79907 Phone: 915-860-2041 Fax: 915-860-2067 | |
Dr. Harold Wayne Ray Jr., Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 3215 Gateway Blvd W, El Paso, TX 79903 Phone: 915-598-7246 Fax: 915-633-6598 |