Provider Demographics
NPI:1982943585
Name:KEENEY, XUE LING (APN-C)
Entity Type:Individual
Prefix:
First Name:XUE
Middle Name:LING
Last Name:KEENEY
Suffix:
Gender:F
Credentials:APN-C
Other - Prefix:
Other - First Name:XUE
Other - Middle Name:YING
Other - Last Name:LING CORDERO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:902 FROSTWOOD DR
Mailing Address - Street 2:STE 315
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-2420
Mailing Address - Country:US
Mailing Address - Phone:713-800-0664
Mailing Address - Fax:
Practice Address - Street 1:925 GESSNER RD
Practice Address - Street 2:STE 600
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2545
Practice Address - Country:US
Practice Address - Phone:713-827-9525
Practice Address - Fax:713-468-3561
Is Sole Proprietor?:No
Enumeration Date:2013-02-04
Last Update Date:2017-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX756592363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX315386801Medicaid
TX315386805Medicaid
TX315386804Medicaid
TX315386805Medicaid
TX315386801Medicaid
TX271546YKQHMedicare PIN
TX271546ZS2MMedicare PIN