Organization Active NPI

Marissa C. Keene,M.D. PA

  • Obstetrics & Gynecology Physician
  • Laredo, TX
National Provider Identifier
1255416640
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
K5578 Issued in TX
Legal business name
MARISSA C. KEENE,M.D. PA
Practice address
6826 Springfield Ave
Suite 102
Laredo, TX 78041-2213
Phone
(956) 729-7525
Fax
(956) 729-8524
NPI assigned
Oct 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Marissa C. Keene
Title
Sole Proprietor
Phone
(956) 729-7525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X K5578 TX Primary

Addresses

Primary practice location

6826 Springfield Ave
Suite 102
Laredo, TX 78041-2213

Mailing address

6826 Springfield Ave
Suite 102
Laredo, TX 78041-2213
Phone (956) 729-7525

National Provider Directory

National Provider Directory

Locations

6826 Springfield Ave
Ste 102
Laredo, TX 78041
Phone (956) 726-9886

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255416640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6826 SPRINGFIELD AVE",
            "address_2": "SUITE 102",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780412213",
            "telephone_number": "956-729-7525",
            "fax_number": "956-729-8524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6826 SPRINGFIELD AVE",
            "address_2": "SUITE 102",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780412213",
            "telephone_number": "956-729-7525",
            "fax_number": "956-729-8524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARISSA C. KEENE,M.D. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KEENE",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "956-729-7525",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "K5578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.