| Keter Elite LLC | |
|
1813 Truscott Ln Allen TX 75013-5425 | |
| (405) 317-3476 | |
| Not Available |
| Full Name | Keter Elite LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1813 Truscott Ln, Allen, Texas |
| Authorized Official Name and Position | Yi Xiong (SUPERVISING PHYSICIAN) |
| Authorized Official Contact | 4053173476 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keter Elite LLC 1813 Truscott Ln Allen TX 75013-5425 Ph: (405) 317-3476 | Keter Elite LLC 1813 Truscott Ln Allen TX 75013-5425 Ph: (405) 317-3476 |
| NPI Number | 1689344830 |
|---|---|
| Provider Enumeration Date | 09/19/2021 |
| Last Update Date | 09/30/2021 |
| Certification Date | 09/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689344830 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| 208M00000X | Hospitalist | () | Secondary |
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