KELLER DERMATOLOGY, P.A.


Address: 601 S Main St, Suite 115, Keller, TX 76248-7029
Phone: 8177536633

KELLER DERMATOLOGY, P.A. (NPI# 1588985683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588985683
Entity Type Organization
Organization Name KELLER DERMATOLOGY, P.A.
Practice Address 601 S Main St
Suite 115
Keller
TX 76248-7029
Practice Telephone 8177536633
Practice Fax Number 8177536634
Mailing Telephone 8177536633
Mailing Fax Number 8177536634
Enumeration Date 2010-06-13
Last Update Date 2010-06-13
Authorized Official Name DR. JACK B COHEN (PRESIDENT)
Authorized Official Telephone 8177536633
Authorized Official Credential D.O.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2500X Clinic/Center
Specialization: Medical Specialty
F6536 TX Ambulatory Health Care Facilities

Office Location

Street Address 601 S MAIN ST
SUITE 115
City KELLER
State TX
Zip Code 76248-7029

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447810080 Julie Ervin Optometrist 601 S Main St, Keller, TX 76248-7029 2019-06-17
1639659998 Connor Orr Physical Therapy Assistant 601 S Main St, Keller, TX 76248-7029 2018-08-16
1699184101 Morgan Diane Strub Optometrist 601 S Main St, Suite 250, Keller, TX 76248-7029 2014-08-08
1801234240 Btdi Jv LLP Physiological Laboratory 601 S Main St, Ste 100, Keller, TX 76248-7029 2013-06-07
1467793075 Baylor Regional Medical Center At Grapevine Clinic/Center 601 S Main St, Suite 100, Keller, TX 76248-7029 2013-03-06
1891092821 Cynthia Campbell Occupational Therapist 601 S Main St, Keller, TX 76248-7029 2011-02-28
1588823363 Elizabeth Leigh Bah Family Medicine 601 S Main St, Suite 200, Keller, TX 76248-7029 2008-06-05
1528226552 Larry P Tadlock Dentist 601 S Main St, Suite 240, Keller, TX 76248-7029 2008-05-27
1396925798 Sonya Conner Dental Hygienist 601 S Main St, Suite 220, Keller, TX 76248-7029 2007-11-14
1528248937 Jeanne Bass Dental Hygienist 601 S Main St, Suite 220, Keller, TX 76248-7029 2007-11-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316556145 Tyler Woodall Counselor 1668 Keller Parkway, Suite 200, Keller, TX 76248 2020-07-28
1396366456 Kelcie Dao Speech-Language Pathologist 630 B Stoneglen Drive, Keller, TX 76248 2020-04-29
1003447384 Alliance Orthotics and Prosthetics, L.L.C. Prosthetic/Orthotic Supplier 101 Bourland Rd Suite A, Keller, TX 76248 2020-01-27
1033759832 Everest Rehabilitation Hospital Keller, LLC Rehabilitation Hospital 955 S. Main St., Keller, TX 76248 2020-01-09
1750934253 Pediatric Dentistry of Keller Pllc Dentist 1627 Keller Parkway, Suite 100, Keller, TX 76248 2019-07-23
1306345293 Jaqui Otto Psychologist 1664 Keller Parkway Ste 102, Keller, TX 76248 2018-02-06
1194223404 Hartman Samuel Ian Watson Chiropractor 1211 S Main St Ste 300h, Keller, TX 76248 2018-02-01
1760900997 Md First Watch Healthcare Pllc Clinic/Center 310 Keller Parkway, Keller, TX 76248 2017-09-08
1588104541 Elias Alharari Nurse Practitioner 651 S Main St Ste 102, Keller, TX 76248 2017-02-24
1730631698 Alliance Counseling and Education Center Social Worker 1540 Keller Parkway, Ste. 108-205, Keller, TX 76248 2016-10-26
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Taxonomy Information

Taxonomy Code 261QM2500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Medical Specialty

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215317425 Dfw Endocrinology P.a. Clinic/Center 1141 Keller Pkwy Ste C, Keller, TX 76248-1628 2015-06-02
1891962734 Keller Family Chiropractic P.C. Clinic/Center 426 Keller Pkwy Ste 500, Keller, TX 76248-2358 2008-05-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1740888080 Ameri Medical Clinic/Center 2301 Marsh Ln Ste 600, Plano, TX 75093-8497 2020-10-09
1093326969 Origin Spine Institute LLC Clinic/Center 9135 Katy Fwy Ste 300, Houston, TX 77024-1619 2020-08-13
1164061644 Iari Clinic/Center 12606 Greenville Ave Ste 190b, Dallas, TX 75243-1921 2019-12-31
1366081192 Sprout Chiropractic Pllc Clinic/Center 3421 W William Cannon Dr Ste 145, Austin, TX 78745-5002 2019-12-26
1902369101 Banerji Plastic Surgery Clinic/Center 11914 Astoria Blvd Ste 580, Houston, TX 77089-5975 2019-04-13
1831653526 Naveli Medical Services, Pllc Clinic/Center 9090 Gaylord Dr Ste 200, Houston, TX 77024-2948 2019-01-26
1740758606 Landry's Elite Medical Enterprise, Pllc Clinic/Center 3204 Melody Peak Ln, Pearland, TX 77581-2555 2018-11-08
1982179602 Spring Center of Hope Clinic/Center 20008 Champion Forest Dr Ste 1202, Spring, TX 77379-8697 2018-10-09
1609378801 Express Anesthesia & Pain Management Consultants,pllc Clinic/Center 6609 W Sam Houston Pkwy S Ste 101, Houston, TX 77072-1641 2018-03-02
1902313588 Bbg Cosmetic and Plastic Surgery Clinic/Center 5930 W Parker Rd Ste 600, Plano, TX 75093-6420 2018-01-04
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Competitor

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City KELLER
Zip Code 76248

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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