Storts, Keith Ralph
Storts, Keith Ralph is an individual health care provider with primary practice located at 3201 Matlock Rd Ste 220 , Arlington TX 76015-2947. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Storts, Keith Ralph can be contacted via phone (817) 468-1506.Contact Information
Primary practice address
3201 Matlock Rd Ste 220
Arlington TX 76015-2947
Phone: (817) 468-1506
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | J0292 | Texas |
Profile Details
| NPI number | 1184626137 |
|---|---|
| LBN Legal business name | Storts, Keith Ralph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2005 |
| Last updated | Nov 21st, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184626137 | NPPES |
| Texas | MEDICAID | 125798202 |
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