Provider Demographics
NPI:1407599822
Name:KEATING, NIMIMIAYIFA BEATRICE (MD)
Entity type:Individual
Prefix:
First Name:NIMIMIAYIFA
Middle Name:BEATRICE
Last Name:KEATING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 S WILLIAM BARNETT AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:TX
Mailing Address - Zip Code:77327-4542
Mailing Address - Country:US
Mailing Address - Phone:281-592-9775
Mailing Address - Fax:281-432-0548
Practice Address - Street 1:309 HIGHWAY 59 LOOP S
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:TX
Practice Address - Zip Code:77351-9012
Practice Address - Country:US
Practice Address - Phone:936-327-1055
Practice Address - Fax:936-329-8800
Is Sole Proprietor?:No
Enumeration Date:2022-04-14
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXW0624207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine