NPI age
11 years
Enumerated 2014-12-12
● Active
Type 1 · Individual
Keith Vincent McInnerney, PA-C
McInnerney is 1 of 7 physician assistant providers in Southlake and 1 of 2220 in Texas.
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
TX, OK
2 states
Status
Active
No deactivations on record
Last NPPES update
2021-03-10
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 2220 active physician assistant providers in Texas.
NPI age
11 years
↓ 4 yr below median (15 yr)
State licenses
2 states
Top 93% — 6% of peers are multi-state
Subspecialties
0
20% of peers hold subspecialties
NPI lifetime · 2014 → 2026
2014-12Enumerated in NPPES
2014
2026
Where they practice
Practice location
630 N Kimball Ave Ste 100
Southlake, TX 760926886
Mailing address
630 N Kimball Ave Ste 100
Southlake, TX 760926886
Additional practice locations
1 secondary location on file with NPPES.
Location 2
908 N Rockford Rd, Suite A
Ardmore, OK 734012540
Specialties
-
Physician Assistant PrimaryDefinition to come...
Practice context
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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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.