| Dr Robert Tyson Keller, MD | |
|
724 Pennsylvania Ave, Fort Worth, TX 76104-2221 | |
| (817) 336-1200 | |
| (817) 732-6597 |
| Full Name | Dr Robert Tyson Keller |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 43 Years |
| Location | 724 Pennsylvania Ave, Fort Worth, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962445346 | NPI | - | NPPES |
| 8P9720 | Other | TX | INDIVIDUAL |
| P00149356 | Other | TX | INDIVIDUAL |
| 135403709 | Medicaid | TX | |
| 172324901 | Medicaid | TX | |
| DC1238 | Other | TX | RR GROUP |
| 0063LZ | Other | TX | BC GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | H4975 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Medical City Fort Worth | Fort worth, TX | Hospital |
| Medical City Weatherford | Weatherford, TX | Hospital |
| Lake Granbury Medical Center | Granbury, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fort Worth Medical Specialists Pllc | 2668797952 | 5 |
| Ppg Health Pa | 7113904657 | 31 |
| Entity Name | Ppg Health Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295736973 PECOS PAC ID: 7113904657 Enrollment ID: O20040702000316 |
| Entity Name | Questcare Hospitalists Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265441620 PECOS PAC ID: 5799785119 Enrollment ID: O20070109000581 |
| Entity Name | Fort Worth Medical Specialists Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417362427 PECOS PAC ID: 2668797952 Enrollment ID: O20150209000502 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Robert Tyson Keller, MD 301 Clifford Center Dr, Suite 115, Fort Worth, TX 76108-4443 Ph: (817) 737-6552 | Dr Robert Tyson Keller, MD 724 Pennsylvania Ave, Fort Worth, TX 76104-2221 Ph: (817) 336-1200 |
Gayane Tumyan, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 600 S Main St, Fort Worth, TX 76104 Phone: 817-882-2420 | |
Charles A Carlton, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1622 8th Avenue, Suite 110, Fort Worth, TX 76104 Phone: 817-926-2561 Fax: 817-921-3708 | |
Paul J Garcia, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5701 Bryant Irvin Rd, Suite 302, Fort Worth, TX 76132 Phone: 817-294-9000 Fax: 817-294-9010 | |
Stevan A Gonzalez, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1250 8th Ave, Suite 515, Fort Worth, TX 76104 Phone: 817-922-4675 Fax: 817-922-4645 | |
Christian Nguyen, DO Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1300 W Terrell Ave Ste K230, Fort Worth, TX 76104 Phone: 817-250-4906 Fax: 817-250-1815 | |
Elie B Choufani, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 W Terrell Ave, Fort Worth, TX 76104 Phone: 817-852-8305 | |
Syed Hadi Jafri, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 W Terrell Ave Fl 2, Fort Worth, TX 76104 Phone: 817-820-4906 Fax: 817-820-4815 |