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NPI Code Detail

MEDICARE: KELLER ISD

MEDICARE: KELLER ISD
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1251300000XLocal Education Agency (LEA)

General Provider Information

NPI Number : 1679869721
Entity Type Code : Organization
Provider Name (Legal Business Name) : KELLER ISD
Provider Business Mailing Address
First Line : 350 KELLER PKWY
Second Line :
City : KELLER
State : TX
Zip : 76248-2249
Country : US
Telephone Number : 817-744-1031
Fax Number :
Provider Business Practice Location Address
First Line : 350 KELLER PKWY
Second Line :
City : KELLER
State : TX
Zip : 76248-2249
Country : US
Telephone Number : 817-744-1031
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : MS. HEATHER HUGHES
Credential :
Telephone Number : 817-744-1031
Provider Enumeration Date : 06/27/2011
Last Update Date : 06/27/2011

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Directions to “KELLER ISD ” Practice Location

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