Keller, Stewart R

Keller, Stewart R is an individual health care provider with primary practice located at 5560 Mesa Springs Dr , Fort Worth TX 76123-2120. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Keller, Stewart R can be contacted via phone (817) 348-8333.

Contact Information

Primary practice address
5560 Mesa Springs Dr Fort Worth TX 76123-2120
Phone: (817) 348-8333
Fax: (817) 348-8415
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X J0038 Texas

Profile Details

NPI number 1881647295
LBN Legal business name Keller, Stewart R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Apr 10th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881647295 NPPES
Texas Other 8AJ514 BCBS
Texas Other P00279334 BCBS
Texas Other J0038 BCBS
Texas MEDICAID 096815803 BCBS

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