Organization
TEAMMD PHYSICIANS OF TEXAS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND S KELLER (CFO)
(651) 324-0266
Entity
Organization
Contact information
Practice address
9900 BREN RD E # 8-B217, MINNETONKA, MN 55343
(651) 324-0266
Mailing address
9900 BREN RD E # 8-B217, MINNETONKA, MN 55343-9664
(651) 324-0266
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
01/30/2018
Last updated
05/17/2018
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