| NPI | 1366773889 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2010-01-22 |
| Last Updated | 2025-03-26 |
| Mailing Address | 6387 Camp Bowie Blvd Ste B, # 340 Fort Worth, TX 76116-5486 United States Phone: (817) 769-3603 📍 View Map |
| Primary Practice Address | 4625 Saint Amand Cir Fort Worth, TX 76126-1908 United States Phone: (817) 769-3603 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | TX | 213653301 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207N00000X – Dermatology | TX | M4232 |
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About NPI 1366773889
Patrick Keehan D.O. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1366773889. The primary specialty listed is Dermatology. The provider is located in Fort Worth, TX. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2010-01-22. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1366773889?
NPI 1366773889 belongs to Patrick Keehan D.O., a Dermatology in Fort Worth, TX. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1366773889 active?
The current status of NPI 1366773889 in the NPPES registry is Active. The record was last updated on 2025-03-26.
What specialty is NPI 1366773889?
NPI 1366773889 is classified under the taxonomy Dermatology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1366773889?
You can verify NPI 1366773889 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1366773889?
The primary practice address on file for NPI 1366773889 is 4625 Saint Amand Cir, Fort Worth, TX 76126-1908. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1366773889 issued?
NPI 1366773889 was first issued (enumerated) on 2010-01-22. The NPPES record was last updated on 2025-03-26.
Practice Location Map
Patrick Keehan is located at 4625 Saint Amand Cir, Fort Worth, TX. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Patrick Keehan. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1366773889. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Dermatology | M4232 | TX |