SUSAN KELLER

FORT WORTH, TX
NPI1104201813
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: TX  PA09894)
Enumeration Date2015-07-23
Last Update Date2019-01-31
Business Address
SUSAN KELLER
6551 HARRIS PKWY STE 250
FORT WORTH, TX 76132
Phone number: 713-824-1883
Mailing Address
SUSAN KELLER
6551 HARRIS PKWY STE 250
FORT WORTH, TX 76132-6115
Phone number: 713-824-1883