Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Keith Allen Wixtrom, MD

Individual provider Family Medicine Physician · NPI 1639193246

Dr. Keith Allen Wixtrom, MD is a Family Medicine Physician in Tyler, Texas. Practices as a sole proprietor and works from 3 locations. Licensed in Texas.

Licensed in
TX
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

7916 S Broadway Ave
Tyler, TX 75703-5274
Phone: (903) 266-5900
Fax: (214) 276-7333
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4500 S Lancaster Rd, Dallas, TX 75216-7167 — (214) 857-1911
  • 3250 W Pleasant Run Rd, Lancaster, TX 75146-1050 — (972) 274-5200

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence G8515 (TX)

Record details

NPI number1639193246
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 27, 2006
Last updated in NPPESApril 24, 2019

Other providers in Tyler