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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
F6536 | TX | Ambulatory Health Care Facilities |
Street Address |
601 S MAIN ST SUITE 115 |
City | KELLER |
State | TX |
Zip Code | 76248-7029 |
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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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 |
Find all providers in zip 76248 |
Taxonomy Code | 261QM2500X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Medical Specialty |
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] |
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 |
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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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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.