| NPI | 1811375645 |
|---|---|
| Doing Business As | THINIQUE KELLER |
| Entity Type | Organization |
| Authorized Contact | JASON TINLEY Principal 817-717-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: TX M7690) |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2015-05-13 |