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KELLER DERMATOLOGY, P.A.
NPI 1588985683
Clinic/Center - Medical Specialty in Keller, TX

Active since June 13, 2010
601 S MAIN ST, SUITE 115, KELLER, TX 76248(817) 753-6633(817) 753-6634 Get Directions Write a Review

NPPES record last updated: June 13, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Keller Dermatology, P.a. NPPES

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

KELLER DERMATOLOGY, P.A. (NPI 1588985683) is a healthcare organization registered as a medical specialty in Keller, Texas and active in the NPI registry since June 2010. The organization lists Jack B Cohen, President, as its authorized official.

NPPES Registry Identity

NPI1588985683
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameKELLER DERMATOLOGY, P.A.
Location Address601 S MAIN ST, SUITE 115Keller, TX 76248-7029
Mailing Address601 S Main St, Suite 115Keller, TX 76248-7029 · (817) 753-6633 · Fax (817) 753-6634
Phone(817) 753-6633
Fax(817) 753-6634
Organization SubpartNo
Authorized OfficialJack B CohenPresident · (817) 753-6633
Enumeration DateJune 13, 2010
✔ NPI 1588985683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in TX · F6536
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).
601 S MAIN ST, Keller, TX 76248
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Other Providers at the Same Location NPPES 14

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

CASSANDRA MUFF F. N. P.
Nurse Practitioner
601 S MAIN ST, SUITE 200
KELLER, TX 76248
Tarrant County (817) 753-6888
LUSTIG AND YOUNG ORTHODONTICS
Dentist (Orthodontics and Dentofacial Orthopedics)
601 S MAIN ST
KELLER, TX 76248
Tarrant County (817) 514-1717
SONYA CONNER R.D.H.
Dental Hygienist
601 S MAIN ST, SUITE 220
KELLER, TX 76248
Tarrant County (817) 741-8390
DR. KEVIN LIU M.D.
Family Medicine
601 S MAIN ST, SUITE 200
KELLER, TX 76248
Tarrant County (817) 753-6888
DR. GRADY LEE CARTER III D.O.
Physical Medicine & Rehabilitation
601 S MAIN ST, SUITE 260
KELLER, TX 76248
Tarrant County (972) 393-8067
BAYLOR REGIONAL MEDICAL CENTER AT GRAPEVINE
Clinic/Center (Radiology)
601 S MAIN ST, SUITE 100
KELLER, TX 76248
Tarrant County (817) 482-2000
THOMAS EYECARE PA
Optometrist
601 S MAIN ST, SUITE 250
KELLER, TX 76248
Tarrant County (817) 379-6200
DR. LARRY P TADLOCK D.D.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
601 S MAIN ST, SUITE 240
KELLER, TX 76248
Tarrant County (817) 485-4996

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keller Dermatology, P.A.'s NPI number?

The NPI number for Keller Dermatology, P.A. is 1588985683. It was assigned to this organization in the NPPES registry on June 13, 2010.

Where is Keller Dermatology, P.A. located?

Keller Dermatology, P.A. is located at 601 S Main St Suite 115, Keller, TX 76248. The listed phone number is (817) 753-6633.

What is Keller Dermatology, P.A.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Keller Dermatology, P.A. was last updated on June 13, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.