person
Jerry Keaton, MD
Diagnostic Radiology Physician in Longview, Texas
NPI 1699731836

Jerry Keaton is a Diagnostic Radiology Physician based in Henderson, TX and is specialized in Diagnostic Radiology. Jerry Keaton practices in Longview, TX and has the professional credentials of MD. The NPI Number for Jerry Keaton is 1699731836 and holds a License No. J2634 (Texas).

The current practice location address for Jerry Keaton is 700 E Marshall Ave, Longview, TX and can be reached out via phone at 903-315-2072 and via fax at 903-247-0222.

Location: 700 E Marshall Ave, Longview, TX, 75652-8615
person
Provider Profile Details
NPI Number
1699731836
Provider Name
Jerry Keaton
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
700 E Marshall Ave, Longview, TX, 75652-8615
Phone Number
903-315-2072
Fax Number
903-247-0222
Provider Enumeration Date
04/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
88R991 05 TX
MDJ2634 01 TX WORKERS COMP
117915 01 TX CHIP PROGRAM
P00048099 01 TX TRAVELER MEDICARE
012079 01 TX TX KINDNEY HEALTH
88R995 01 TX BLUE CROSS BLUE SHIELD TX
institution
Provider Business Practice Location Address Details
Address
700 E Marshall Ave
City
State
Zip
75601-5580
Phone Number
903-315-2072
Fax Number
903-247-0222
person
Provider Business Mailing Address Details
Address
700 E Marshall Ave
City
State
Zip
75601-5580
Phone Number
903-315-2072
Fax Number
903-247-0222
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
J2634 (Texas)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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