MEDICARE: FRANCIS X. KELLER M.D.

Medicare Provider Information

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207LP2900X	Pain Medicine (Anesthesiology) Physician	F9655	TX

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8CB117	OTHER	TX	BLUE CROSS BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	8AW313	OTHER	TX	BLUE CROSS BLUE SHIELD
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

NPI Number	:	1265432132
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANCIS X. KELLER M.D.

Provider Business Mailing Address
First Line	:	2929 ALLEN PKWY STE 200
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77019-7123
Country	:	US
Telephone Number	:	280-580-9030
Fax Number	:	281-580-2725

Provider Business Practice Location Address
First Line	:	2411 FOUNTAIN VIEW DR
Second Line	:	SUITE 200
City	:	HOUSTON
State	:	TX
Zip	:	77057-4817
Country	:	US
Telephone Number	:	713-620-4000
Fax Number	:	713-458-4229

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2005
Last Update Date	:	10/23/2019

2411 FOUNTAIN VIEW DR , STE. 200
HOUSTON, TX
77057-4817

Practice Phone: 409-771-0040
Practice Fax:

2411 FOUNTAIN VIEW DR , STE. 200
HOUSTON, TX
77057-4817