Keller, Tona J

Keller, Tona J is an individual health care provider with primary practice located at 6510 Memorial Dr , Texas City TX 77591-4016. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Keller, Tona J can be contacted via phone (409) 933-0733.

Contact Information

Primary practice address
6510 Memorial Dr Texas City TX 77591-4016
Fax: (409) 933-9777
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA01832 Texas

Profile Details

NPI number 1902820780
LBN Legal business name Keller, Tona J
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Oct 30th, 2007 - about 19 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 1902820780 NPPES
Texas Other 0053KD BLUE CROSS BLUE SHIELD
Texas Other DA0825 BLUE CROSS BLUE SHIELD

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