Mr. Keith Austin Wommack, CSB
Mr. Keith Austin Wommack, CSB is a Religious Nonmedical Practitioner in Corpus Christi, Texas. Practices as a sole proprietor. Registered with an NPI since 2012.
- In the registry since
- 2012
Practice location Address checks out
514 Ronson DrCorpus Christi, TX 78412-3152
Phone: (361) 992-2487
Fax: (361) 991-6310
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Specialties & licences
| Religious Nonmedical Practitioner (primary) | Taxonomy 374K00000X |
|---|
Record details
| NPI number | 1235402447 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CSB |
| Sole proprietor | Yes |
| NPI enumerated | February 17, 2012 |
| Last updated in NPPES | February 17, 2012 |