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Dr. Keith Allen Wixtrom, MD
Family Medicine Physician in Tyler, Texas
NPI 1639193246

Keith Allen Wixtrom is a Family Medicine Physician based in Hideaway, TX. Keith Allen Wixtrom practices in Tyler, TX and has the professional credentials of MD. The NPI Number for Keith Allen Wixtrom is 1639193246 and holds a License No. G8515 (Texas).

The current practice location address for Keith Allen Wixtrom is 7916 S Broadway Ave, Tyler, TX and can be reached out via phone at 903-266-5900 and via fax at 214-276-7333.

Location: 7916 S Broadway Ave, Tyler, TX, 75771-5202
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639193246
Provider Name
Keith Allen Wixtrom
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
7916 S Broadway Ave, Tyler, TX, 75771-5202
Phone Number
903-266-5900
Fax Number
214-276-7333
Provider Enumeration Date
07/27/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
7916 S Broadway Ave
City
Tyler
State
Texas
Zip
75703-5274
Phone Number
903-266-5900
Fax Number
214-276-7333
person
Provider Business Mailing Address Details
Address
7916 S Broadway Ave
City
Tyler
State
Texas
Zip
75703-5274
Phone Number
903-266-5900
Fax Number
214-276-7333
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
G8515 (Texas)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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