Provider Demographics
NPI:1023908340
Name:ARTHUR, KEITH
Entity type:Individual
Prefix:MR
First Name:KEITH
Middle Name:
Last Name:ARTHUR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1425 N DALLAS AVE STE 214
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:TX
Mailing Address - Zip Code:75134-3266
Mailing Address - Country:US
Mailing Address - Phone:214-773-7631
Mailing Address - Fax:
Practice Address - Street 1:1425 N DALLAS AVE STE 214
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:TX
Practice Address - Zip Code:75134-3266
Practice Address - Country:US
Practice Address - Phone:214-773-7631
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-08
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide