Stewart Keller Do Pa

LBN: Stewart Keller Do Pa
Stewart Keller Do Pa is an health care organization with primary practice located at 1314 Lake St Suite 102, Fort Worth TX 76102-4581. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as the primary health care specialty. Stewart Keller Do Pa can be contacted via phone (817) 348-8333, or through Keller, Stewart R via phone (817) 348-8333.

Contact Information

Primary practice address
1314 Lake St Suite 102 Fort Worth TX 76102-4581
Phone: (817) 348-8333
Fax: (817) 348-8415
Website:
Map and Directions
Authorized official contact:
Name: Keller, Stewart R Doctor of Osteopathy (DO)
Phone: (817) 348-8333

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X

Profile Details

NPI number 1225080856
LBN Legal business name Stewart Keller Do Pa
DBA Doing business as
Authorized official Keller, Stewart R Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2006
Last updated Jun 23rd, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225080856 NPPES
Texas Other 0003QJ BCBS
Texas Other DE2226 BCBS
Texas MEDICAID 179056001 BCBS

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