NPI age
19 years
Enumerated 2006-07-27
● Active
Type 1 · Individual
DR. Keith Allen Wixtrom, M.D.
Wixtrom is 1 of 152 family medicine providers in Tyler and 1 of 15966 in Texas.
Primary specialty
Family Medicine
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-04-24
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 15966 active family medicine providers in Texas.
NPI age
19 years
↑ 2 yr above median (17 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
0
26% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-07Enumerated in NPPES
2006
2026
Where they practice
Practice location
7916 S Broadway Ave
Tyler, TX 757035274
Mailing address
308 Hide A Way Ln C
Hideaway, TX 757715202
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
3250 W Pleasant Run Rd, Suite 160
Lancaster, TX 751461050
Location 3
4500 S Lancaster Rd
Dallas, TX 752167167
Specialties
-
Family Medicine PrimaryFamily 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...
Practice context
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
Recently enumerated nearby: 2 new family medicine providers have been added in Tyler in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.