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Search › Texas › Family Medicine Physician

Keith Wixtrom, M.D

NPI 1639193246 · on the registry since 2006 · sole proprietor

Practice

Address
7916 S Broadway Ave
Tyler, TX 75703
Phone
(903) 266-5900
Fax
(214) 276-7333
Organisation at this address
Dallas Vamc
Culberson R. Boren, D.D.S., P.A.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
8

Additional practice sites

  • 3250 W Pleasant Run Rd, Lancaster, TX
  • 4500 S Lancaster Rd, Dallas, TX

Registry record

Primary taxonomy
Family Medicine Physician
207Q00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-04-24

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