Provider Demographics
NPI:1962944553
Name:KEYES TO HEALTH PLLC
Entity type:Organization
Organization Name:KEYES TO HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:KEYES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-870-2614
Mailing Address - Street 1:13284 GLADE MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77302-3546
Mailing Address - Country:US
Mailing Address - Phone:713-870-2614
Mailing Address - Fax:832-442-5107
Practice Address - Street 1:17450 ST LUKES WAY
Practice Address - Street 2:SUITE 180
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77384-8044
Practice Address - Country:US
Practice Address - Phone:281-465-9525
Practice Address - Fax:832-442-5107
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-14
Last Update Date:2017-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8103111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXU72853Medicare UPIN
TX83875JMedicare PIN