Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Keith F Desonier Jr., PA-C

Individual provider Physician Assistant · NPI 1760792857

Keith F Desonier Jr., PA-C is a Physician Assistant in Fort Worth, Texas. Qualified in 2010, 16 years ago. Practices with Texas Center for Urology LLP, a 14-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
16
Licensed in
TX
In the registry since
2010
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1001 12th Ave Ste 140
Fort Worth, TX 76104-3926
Phone: (817) 871-9069
Fax: (817) 871-9067
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA06946 (TX)

Record details

NPI number1760792857
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 7, 2010
Last updated in NPPESJune 9, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Texas Center For Urology Llp — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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