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:
Health care specialties
Specialty | Code | License # | 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 4 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 | 1881647295 | NPPES |
Texas | Other | 8AJ514 | BCBS |
Texas | Other | P00279334 | BCBS |
Texas | Other | J0038 | BCBS |
Texas | MEDICAID | 096815803 | BCBS |
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