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Organization
ROBERT T KELLER MD & ASSCO PA
Active
Organization
ROBERT T KELLER MD & ASSCO PA
Active
Other names
Robert T Keller MD
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT T KELLER MD (OWNER)
(817) 737-6585
Entity
Organization
Contact information
Practice address
2751 GREENOAKS RD, FORT WORTH, TX 76110
(817) 737-6552
(817) 732-6597
Mailing address
PO BOX 12247, FORT WORTH, TX 76110
(817) 737-6552
(817) 732-6597
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
H4975
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0063LZ
BC
TX
01
—
DC1238
RR MEDICARE
TX
Enumeration date
07/16/2006
Last updated
08/22/2020
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