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Organization

MICHAEL G KELLER DO PA

Active
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Organization

MICHAEL G KELLER DO PA

Active
Other names
Internal Medicine Assoc
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL G KELLER DO (PRESIDENT)
(409) 962-7606
Entity
Organization

Contact information

Practice address
3133 SABA LN, PORT NECHES, TX 77651
(409) 962-7606
(409) 962-6027
Mailing address
5502 39TH ST, STE 105, GROVES, TX 77619
(409) 962-7606
(409) 962-6027

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
F1700
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
093658503
—
TX
Enumeration date
01/02/2007
Last updated
05/31/2018
About Stedi
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