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Organization
SHANE EDWARD KELLER MD PA
Active
Organization
SHANE EDWARD KELLER MD PA
Active
Other names
Parkway Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
SHANE EDWARD KELLER MD (PRESIDENT)
(512) 252-1505
Entity
Organization
Contact information
Practice address
505 W LOUIS HENNA BLVD STE 100, AUSTIN, TX 78728-1702
(512) 252-1505
(512) 252-1506
Mailing address
PO BOX 4374, HOUSTON, TX 77210-4374
(512) 252-1505
(512) 252-1506
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L8393
TX
Other
Enumeration date
07/27/2006
Last updated
12/10/2019
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