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DR. KEITH ALLEN WIXTROM M.D.
NPI 1639193246
Family Medicine in Tyler, TX

Active since July 27, 2006
7916 S BROADWAY AVE, TYLER, TX 75703(903) 266-5900(214) 276-7333 Get Directions Write a Review

NPPES record last updated: April 24, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Keith Allen Wixtrom M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KEITH ALLEN WIXTROM M.D. (NPI 1639193246) is an individual family medicine provider in Tyler, Texas, licensed in Texas (G8515) and active in the NPI registry since July 2006. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1639193246
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KEITH ALLEN WIXTROMCredential: M.D.
Location Address7916 S BROADWAY AVETyler, TX 75703-5274
Mailing Address308 Hide A Way Ln CHideaway, TX 75771-5202 · (214) 663-8244 · Fax (214) 276-7333
Phone(903) 266-5900
Fax(214) 276-7333
Sole ProprietorYes
Enumeration DateJuly 27, 2006
Last NPPES UpdateApril 24, 2019
✔ NPI 1639193246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · G8515
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
7916 S BROADWAY AVE, Tyler, TX 75703
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Secondary Practice Locations 2

Location 13250 W Pleasant Run Rd, Suite 160Lancaster, TX 75146-1050 · Phone (972) 274-5200 · Fax (972) 274-5217
Location 24500 S Lancaster RdDallas, TX 75216-7167 · Phone (214) 857-1911 · Fax (214) 276-7333

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CULBERSON R. BOREN, D.D.S., P.A.
Dentist (Pediatric Dentistry)
7916 S BROADWAY AVE, STE 150
TYLER, TX 75703
Smith County (903) 581-2198
ANNA JOHN
Nurse Practitioner (Family)
7916 S BROADWAY AVE
TYLER, TX 75703
Smith County (855) 375-6930
MING YING TRUONG DDS
Dentist (General Practice)
7916 S BROADWAY AVE, SUITE 150
TYLER, TX 75703
Smith County (903) 581-2198
SUJA SANJAY
Nurse Practitioner (Family)
7916 S BROADWAY AVE
TYLER, TX 75703
Smith County (855) 375-6930
MISS MARILYN KAY CRAIG RRT
Respiratory Therapist, Registered (General Care)
7916 S BROADWAY AVE
TYLER, TX 75703
Smith County (903) 266-5900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keith Wixtrom's NPI number?

The NPI number for Keith Wixtrom is 1639193246. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Keith Wixtrom located?

Keith Wixtrom practices at 7916 S Broadway Ave, Tyler, TX 75703. The listed phone number is (903) 266-5900.

What is Keith Wixtrom's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

What insurance does Keith Wixtrom accept?

Health plans from Blue Cross and Blue Shield of Texas list Keith Wixtrom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Keith Wixtrom was last updated on April 24, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.