Individual
MS. MARYJANE KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6410 FANNIN ST STE 250, HOUSTON, TX 77030-3004
(832) 325-7131
Mailing address
6410 FANNIN ST STE 250, HOUSTON, TX 77030-3004
(832) 325-7131
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP106264
TX
Other
Enumeration date
03/12/2018
Last updated
03/12/2018
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