| First Keller Healthcare, LLC | |
|
891 E. Keller Pkwy Ste 101 Keller TX 76248-2486 | |
| (682) 593-4273 | |
| (682) 307-4300 |
| Full Name | First Keller Healthcare, LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 891 E. Keller Pkwy Ste 101, Keller, Texas |
| Authorized Official Name and Position | Arturo Ledezma (ADMINISTRATOR) |
| Authorized Official Contact | 6825934273 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| First Keller Healthcare, LLC 891 E. Keller Pkwy Ste 101 Keller TX 76248-2486 Ph: (682) 593-4273 | First Keller Healthcare, LLC 891 E. Keller Pkwy Ste 101 Keller TX 76248-2486 Ph: (682) 593-4273 |
| NPI Number | 1013381250 |
|---|---|
| Provider Enumeration Date | 11/27/2015 |
| Last Update Date | 12/03/2021 |
| Certification Date | 12/03/2021 |
| Medicare PECOS PAC ID | 5799087383 |
|---|---|
| Medicare Enrollment ID | O20160114000209 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013381250 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M3258 (Texas) | Primary |
| Provider Name | Victor M Burgos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285851865 PECOS PAC ID: 3779704002 Enrollment ID: I20150507000976 |
| Provider Name | Huan Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588013569 PECOS PAC ID: 2264720622 Enrollment ID: I20190507002026 |
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