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

Individual provider Medical Physician Assistant · NPI 1972901650

Keith Vincent McInnerney, PA-C is a Physician Assistant in Southlake, Texas. Qualified in 2014, 12 years ago. Practices with Better Faster LLC, a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oklahoma and Texas.

Years since qualifying
12
Licensed in
OK, TX
In the registry since
2014
Specialties on file
2
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

630 N Kimball Ave Ste 100
Southlake, TX 76092-6886
Phone: (817) 421-8777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 908 N Rockford Rd, Ardmore, OK 73401-2540 — (580) 226-7771

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA09502 (TX)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 2585 (OK)

Record details

NPI number1972901650
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 12, 2014
Last updated in NPPESMarch 10, 2021
Certification dateMarch 10, 2021
Mailing address630 N Kimball Ave Ste 100, Southlake, TX 76092-6886

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Better Faster Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Southlake