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General NPI Number Information
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NPI Number | 1184575326
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Entity Type | Organization
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Legal Business Name | CYPRESS BREAST CENTER LLC
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Dates
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Enumeration Date | 02/04/2026
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 22215 CYPRESSWOOD DR STE 212
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City | CYPRESS
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State | TX
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Zip | 77433-9020
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Country | US
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Telephone | 281-955-8884
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Fax |
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Provider Business Mailing Address
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Address Line | 10425 HUFFMEISTER RD STE 200
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City | HOUSTON
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State | TX
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Zip | 77065-3429
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KIM D KELLER
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Credential | MD
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Telephone | 281-955-8884
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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