STEWART KELLER DO PA - NPI 1225080856 - Psychiatry & Neurology in Fort Worth, TX

Q: What is Stewart Keller Do PA's NPI number?

The NPI number for Stewart Keller Do PA is 1225080856. It was assigned to this organization in the NPPES registry on May 16, 2006.

Q: What is Stewart Keller Do PA's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

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About Stewart Keller Do Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEWART KELLER DO PA (NPI 1225080856) is a healthcare organization registered as a neurology in Fort Worth, Texas and active in the NPI registry since May 2006. The organization lists Stewart R Keller, Owner, as its authorized official.

NPPES Registry Identity

NPI1225080856

Entity TypeOrganization

Primary Taxonomy2084N0400X

Legal Business NameSTEWART KELLER DO PA

Location Address1314 LAKE ST, SUITE 102Fort Worth, TX 76102-4581

Mailing Address1314 Lake St, Suite 102Fort Worth, TX 76102-4581 · (817) 348-8333 · Fax (817) 348-8415

Phone(817) 348-8333

Fax(817) 348-8415

Organization SubpartNo

Authorized OfficialStewart R KellerOwner · (817) 348-8333

Enumeration DateMay 16, 2006

Last NPPES UpdateJune 23, 2008

✔ NPI 1225080856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

1314 LAKE ST, Fort Worth, TX 76102

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Other Identifiers 4

Medicaid179056001TX

Medicare PIN00W153TX

Other0003QJTX · Bcbs

OtherDE2226Medicare Railroad

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare, WellPoint.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ESTELA ALMANZA RN

Registered Nurse