Provider Demographics
NPI:1164573861
Name:FOXWORTH, KECIA LEDET (MD)
Entity Type:Individual
Prefix:DR
First Name:KECIA
Middle Name:LEDET
Last Name:FOXWORTH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:KECIA
Other - Middle Name:LEDET
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1330 N BECKLEY AVE
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75203-1271
Mailing Address - Country:US
Mailing Address - Phone:214-941-7200
Mailing Address - Fax:
Practice Address - Street 1:1330 N BECKLEY AVE
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75203-1271
Practice Address - Country:US
Practice Address - Phone:214-941-7200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2009-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM7193207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology