Provider Demographics
NPI:1235116633
Name:ALDINGER, KEITH ALAN (MD MBR)
Entity Type:Individual
Prefix:DR
First Name:KEITH
Middle Name:ALAN
Last Name:ALDINGER
Suffix:
Gender:M
Credentials:MD MBR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1315 ST JOSEPH PKWY STE 1102
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77002-8235
Mailing Address - Country:US
Mailing Address - Phone:281-868-1094
Mailing Address - Fax:281-929-0580
Practice Address - Street 1:1315 ST JOSEPH PKWY STE 1102
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-8235
Practice Address - Country:US
Practice Address - Phone:281-868-1094
Practice Address - Fax:281-929-0585
Is Sole Proprietor?:No
Enumeration Date:2005-12-27
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE3184207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX122975901-PMedicaid
TXB20842Medicare UPIN