KEITH POWELL

WESLACO, TX
NPI1407300767
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: TX  PA11394)
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2016-08-04
Last Update Date2022-11-09
Business Address
KEITH POWELL
1401 E 8TH ST
WESLACO, TX 78596-6640
Phone number: 956-973-5110
Mailing Address
KEITH POWELL
5816 92ND ST
LUBBOCK, TX 79424-3629
Phone number: 580-730-9131