Individual
YVONNE KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CLT
Contact information
Practice address
7200 CLAREWOOD DR, HOUSTON, TX 77036-4400
(979) 337-9027
Mailing address
PO BOX 740745, HOUSTON, TX 77274-0745
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21011510
DL
TX
Enumeration date
03/13/2018
Last updated
03/13/2018
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