Search › Texas › 225X00000X
Keith Tisdell
NPI 1477550630 · on the registry since 2005
Practice
- Address
- 189 Decker
Kyle, TX 78640 - Phone
- (954) 328-5436
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Also registered as
- 225X00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-01-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas