ER OF KELLER PLLC – NPI #1508593914
Clinic/Center

ER OF KELLER PLLC is an AHC clinic located in FORT WORTH, TX. NPPES has assigned the NPI number 1508593914 to ER OF KELLER PLLC on August 04, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QE0002X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Emergency Care

The NPI profile was previously updated about 2 years ago on Mar 07, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ER OF KELLER PLLC below.

NPI Profile for
ER OF KELLER PLLC

NPI Number
1508593914
Enumeration Date

(about 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ER OF KELLER PLLC
Primary location
4561 HERITAGE TRACE PKWY
FORT WORTH, TX 76244-8906
Phone: (214) 906-8899 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ABBAS MIAN
CEO
Phone: (214) 906-8899
Updated
Certification Date
Mar 07, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QE0002X
- Clinic/Center / Emergency Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.