DR. LEE THOMAS KEENEN JR. (NPI# 1558555052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558555052 |
| Entity Type | Individual |
| Full Name | DR. LEE THOMAS KEENEN JR. |
| Credential | D.P.M. |
| Practice Address |
913 S Main St Del Rio TX 78840-5807 |
| Mailing Address |
Po Box 1470 Eagle Pass TX 78853-1470 |
| Practice Telephone | 8307745534 |
| Practice Fax Number | 8307740890 |
| Mailing Telephone | 8307738917 |
| Mailing Fax Number | 8307731892 |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2020-01-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
1925 | TX | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
0668 | AZ | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 217985501 | 05 |
| Street Address |
913 S MAIN ST |
| City | DEL RIO |
| State | TX |
| Zip Code | 78840-5807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821085176 | Angel Martinez | General Practice | 913 S Main St, Del Rio, TX 78840-5807 | 2005-10-03 |
| 1558973982 | Jeen Philip | Nurse Practitioner | 913 S Main St, Del Rio, TX 78840-5807 | 2020-08-18 |
| 1750913299 | Patricia Garcia Gomez | Registered Nurse | 913 S Main St, Del Rio, TX 78840-5807 | 2020-02-11 |
| 1194278598 | Stephanie Wolfe | Nurse Practitioner | 913 S Main St, Del Rio, TX 78840-5807 | 2016-08-02 |
| 1891150645 | Sarah Jolyne Bullock | Pharmacist | 913 S Main St, Del Rio, TX 78840-5807 | 2015-12-21 |
| 1215311782 | Jaime Arturo Solis | Social Worker | 913 S Main St, Del Rio, TX 78840-5807 | 2015-07-15 |
| 1184007833 | Stephanie Eyestone | General Practice | 913 S Main St, Del Rio, TX 78840-5807 | 2015-06-30 |
| 1891125191 | Sara Fantauzzi | Physician Assistant | 913 S Main St, Del Rio, TX 78840-5807 | 2013-11-22 |
| 1942574991 | Anna Laura Antu | Nurse Practitioner | 913 S Main St, Del Rio, TX 78840-5807 | 2012-03-07 |
| 1003024944 | Jose L De Leon | Physician Assistant | 913 S Main St, Del Rio, TX 78840-5807 | 2007-05-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104363431 | Irma Chapa | Pharmacist | 200 Vetrans Blvd, Del Rio, TX 78840 | 2017-01-25 |
| 1538605621 | Maternity Care Center | Advanced Practice Midwife | 1308 Las Vacas St, Del Rio, TX 78840 | 2017-01-12 |
| 1215323514 | Kathleen Schurr | Military Health Care Provider | 47th Medical Group, Laughlin Afb, TX 78840 | 2015-04-13 |
| 1902232259 | Ruben E Mora | Dentist | 551 W Cantu Rd., Del Rio, TX 78840 | 2013-09-18 |
| 1326489758 | Javier Rodriguez-sanchez | Internal Medicine | 2201 N Bedell Ave Ste E, Del Rio, TX 78840 | 2013-07-15 |
| 1205111267 | Raymond Keith Blottin | Counselor | 114 West Losoya, Serenity Counseling, Del Rio, TX 78840 | 2011-10-20 |
| 1194011072 | Nicole Alexcine Deboer | Physician Assistant | 913 S. Main St., United Medical Centers, Del Rio, TX 78840 | 2011-06-20 |
| 1205125713 | Del Rio Ambulance LLC | Ambulance | 126 W. Ogden St., Del Rio, TX 78840 | 2011-04-05 |
| 1285880476 | Luis Carlos Salinas | Obstetrics & Gynecology | 3614 Cocobolo Street, Del Rio, TX 78840 | 2008-08-07 |
| 1417158239 | Heart Specialists of Texas Pa | Internal Medicine | 1109 Ave K, Del Rio, TX 78840 | 2007-05-30 |
| Find all providers in zip 78840 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748656 | Lonestar Foot and Ankle Surgical Associates, Pllc | Podiatrist | 515 E Court St Ste 300, Seguin, TX 78155-5726 | 2020-10-19 |
| 1528665437 | New Horizon Foot and Ankle Specialists | Podiatrist | 2448 Highway 121, Unit 808, Bedford, TX 76021-7317 | 2020-10-04 |
| 1467067603 | Katy Foot & Ankle Pllc | Podiatrist | 21660 Kingsland Blvd # 500, Katy, TX 77450-2511 | 2020-09-14 |
| 1154932812 | Delara Foot and Ankle Pllc | Podiatrist | 1604 Hospital Pkwy Ste 309, Bedford, TX 76022-6931 | 2020-08-14 |
| 1245858265 | Biel Foot & Ankle Specialists Pllc | Podiatrist | 19002 Park Row, Suite 100, Houston, TX 77084 | 2020-07-07 |
| 1013536952 | Select Foot and Ankle Specialists, P.l.l.c. | Podiatrist | 25222 Northwest Fwy Apt 185, Cypress, TX 77429-1038 | 2020-04-10 |
| 1871129445 | Interventional Partners LLC | Podiatrist | 17189 I 45 S Ste 285, Shenandoah, TX 77385-3320 | 2020-03-16 |
| 1073149647 | Interventional Partners LLC | Podiatrist | 18300 Katy Fwy Ste 235, Houston, TX 77094-1521 | 2020-03-16 |
| 1053947622 | Interventional Partners LLC | Podiatrist | 915 Gessner Rd Ste 380, Houston, TX 77024-2519 | 2020-03-16 |
| 1245866813 | Interventional Partners LLC | Podiatrist | 18220 Tomball Pkwy Ste 220, Houston, TX 77070-4370 | 2020-03-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.