Provider Demographics
NPI:1962458224
Name:KEELING, LEE ANN WATKINS (MD)
Entity Type:Individual
Prefix:DR
First Name:LEE ANN
Middle Name:WATKINS
Last Name:KEELING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:LEE ANN
Other - Middle Name:WATKINS
Other - Last Name:MELSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:8204 CROOKED TRL
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75703-5357
Mailing Address - Country:US
Mailing Address - Phone:903-531-8082
Mailing Address - Fax:903-509-0493
Practice Address - Street 1:1000 S BECKHAM AVE
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75701-1908
Practice Address - Country:US
Practice Address - Phone:903-597-0351
Practice Address - Fax:903-592-5282
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2017-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL6992207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1704389-02Medicaid
TXI02599Medicare UPIN
TX1704389-02Medicaid