Individual ProviderKeith GarrisonInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address4800 Alberta Ave, El Paso, TX 79905-2709(915) 215-5200PECOS EnrollmentBased on the most recent information from CMS, provider Keith Garrison is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1245868637Provider TypeIndividualFull NameGarrison, KeithTitleDr.CredentialMDGenderMaleSole ProprietorNoEnumeration Date3/31/2020Last Updated6/23/2023Contact InformationPractice LocationPractice Address4800 Alberta Ave, El Paso, TX 79905-2709Phone(915) 215-5200FaxUnlisted FaxMailing LocationMailing Address4800 Alberta Ave, El Paso, TX 79905-2709Phone(915) 215-5200FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseT7562TexasCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer