KELLER DERMATOLOGY, P.A. is a medical specialty clinic center in Keller, TX. The provider is 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). KELLER DERMATOLOGY, P.A. NPI is 1588985683. The provider is registered as an organization entity type.
The provider's business location address is:
601 S MAIN ST
SUITE 115
KELLER, TX
ZIP 76248-029
Phone: (817) 753-6633
Fax: (817) 753-6634
The provider's authorized official is Jack B Cohen .
The authorized official title is President and has the following contact phone number (817) 753-6633.
The CLIA number assigned to this NPI record is 45D2018411 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 6/13/2010 and was last updated on 6/13/2010.