Individual
CARISSA KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1155 DAIRY ASHFORD RD STE 560, HOUSTON, TX 77079-3035
(409) 999-1650
Mailing address
1155 DAIRY ASHFORD RD STE 560, HOUSTON, TX 77079-3035
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
351883
TX
Other
Enumeration date
05/27/2020
Last updated
05/27/2020
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