Provider Demographics
NPI:1477713998
Name:ALDRICH, KEITH P (MD)
Entity Type:Individual
Prefix:DR
First Name:KEITH
Middle Name:P
Last Name:ALDRICH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10496 KATY FWY STE 101
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77043-5269
Mailing Address - Country:US
Mailing Address - Phone:346-571-7500
Mailing Address - Fax:713-492-2440
Practice Address - Street 1:10496 KATY FWY STE 101
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77043-5269
Practice Address - Country:US
Practice Address - Phone:346-571-7500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-10
Last Update Date:2023-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT54568207X00000X, 207XS0106X
TXS6106207XS0106X, 207X00000X
NY280802207XS0106X
MAL-236355208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery