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
Phone: (409) 933-0733
Fax: (409) 933-9777
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902820780 | NPPES |
| Texas | Other | 0053KD | BLUE CROSS BLUE SHIELD |
| Texas | Other | DA0825 | BLUE CROSS BLUE SHIELD |
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