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Individual

ELIZABETH A KELLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN-BC, FMHPNP,FNP

Contact information

Practice address
616 W RUSSELL PL, SAN ANTONIO, TX 78212-3658
(210) 735-9233
Mailing address
4150 WESTHEIMER RD, STE 103, HOUSTON, TX 77027-4414
(713) 850-0049

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
521278
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
521278
TX

Other

Enumeration date
12/13/2007
Last updated
12/13/2007
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