Organization
EMERGENCY ROOM OF KELLER LLC
Active
Other names
ER of Fort Worth
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABBAS MIAN MD (CEO)
(817) 945-4200
Entity
Organization
Contact information
Practice address
4561 HERITAGE TRACE PKWY, FORT WORTH, TX 76244-8906
(817) 945-4200
Mailing address
4561 HERITAGE TRACE PKWY, FORT WORTH, TX 76244-8906
(214) 906-8899
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/05/2022
Last updated
02/20/2025
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