Keenan Ross Dickens, DO
Military Health Care Provider in San Antonio, TX. Individual provider (NPI-1).
NPI number1881497329
StatusActive
Last updated in NPPESApr 16, 2025
Details
- NPI
- 1881497329
- Entity type
- Individual (NPI-1)
- Name
- Keenan Ross Dickens
- Credential
- DO
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 31, 2025
- Certification date
- Apr 16, 2025
- Last updated
- Apr 16, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171000000X | Military Health Care Provider | – | – | Yes |
Practice location
3551 Roger Brooke DrSan Antonio, TX 78234-4504
Phone 210-539-9594
Mailing address
3551 Roger Brooke DrSan Antonio, TX 78234-4504
Phone 210-539-9594
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All 49 Military Health Care Provider providers in San Antonio · All 48,677 providers in San Antonio
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