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Individual
DR. ROBERT TYSON KELLER
Active
Individual
DR. ROBERT TYSON KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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 GROUP
TX
05
—
135403709
—
TX
05
—
172324901
—
TX
01
—
8P9720
INDIVIDUAL
TX
01
—
DC1238
RR GROUP
TX
01
—
P00149356
INDIVIDUAL
TX
Enumeration date
06/14/2006
Last updated
03/30/2026
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