Dr KEITH N BLACK is a male medical professional, specializing in Osteopathic Manipulative Medicine. He graduated in 1976 from Kirksville College Of Osteopathic Medicine.
PAMPA MEDICAL DEVELOPMENT ASSOCIATES INC
916 N CREST RD
FAMILY CARE CLINIC OF PAMPA
PAMPA
TX
790652798
Tel: 8066880243
| Npi | 1386668267 |
| Pac Id | 7719984533 |
| Professional Enrollment Id | I20100527000196 |
| Last Name | BLACK |
| First Name | KEITH |
| Middle Name | N |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1976 |
| Primary Specialty | OSTEOPATHIC MANIPULATIVE MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | PAMPA MEDICAL DEVELOPMENT ASSOCIATES INC |
| Group Practice Pac Id | 8729360888 |
| Number Of Group Practice Members | 2 |
| Line 1 Street Address | 916 N CREST RD |
| Line 2 Street Address | FAMILY CARE CLINIC OF PAMPA |
| Marker Of Address Line 2 Suppression | |
| City | PAMPA |
| State | TX |
| Zip Code | 790652798 |
| Phone Number | 8066880243 |
| Hospital Affiliation Ccn 1 | 450099 |
| Hospital Affiliation Lbn 1 | PAMPA REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 450231 |
| Hospital Affiliation Lbn 2 | BAPTIST ST ANTHONY'S HOSPITAL |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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