Individual
DR. MICHAEL CHARLES KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10425 HUFFMEISTER RD, SUITE #200, HOUSTON, TX 77065
(281) 955-8884
(281) 897-9536
Mailing address
10425 HUFFMEISTER RD, SUITE #200, HOUSTON, TX 77065
(281) 955-8884
(281) 897-9536
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
S5200
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
415083101
—
TX
Enumeration date
06/12/2015
Last updated
03/30/2022
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