Keila Michele Garoutte M.D.

NPI 1063411932 - Radiology - 2085R0202X

NPI Details
NPI 1063411932
Gender Female
Enumeration Date 07/21/2005
Last Updated 08/15/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
815 PENNSYLVANIA AVE
FORT WORTH TX, 76104-2224, US
Phone (817) 321-0387
Fax
Business Location
816 W CANNON ST
FORT WORTH TX, 76104-3146, US
Phone (817) 321-0387
Fax
Toxanomy
Taxonomy Code 2085R0202X
License State Texas
License Number K3190
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According to our database, Dr. Keila Michele Garoutte M.D. NPI is 1063411932, taxonomy code is 2085R0202X and license number is K3190, license state is located at Texas. Keila Michele Garoutte M.D. physically located at 815 Pennsylvania Ave, Fort Worth TX, 76104-2224. NPI Number Keila Michele Garoutte M.D. has the Individual type.

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1063411932 NPI number is provided on an as is basis without warranty of any kind. 1063411932 is maintained by the National Plan & Provider Enumeration System. The contents of Keila Michele Garoutte M.D. are for informational purposes only.