| Rodney C. Keller Pc | |
|
319 E Mulberry Ave San Antonio TX 78212-3024 | |
| (210) 415-4278 | |
| (210) 757-4030 |
| Full Name | Rodney C. Keller Pc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 319 E Mulberry Ave, San Antonio, Texas |
| Authorized Official Name and Position | Rodney Carlyle Keller (PRESIDENT) |
| Authorized Official Contact | 2104154278 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rodney C. Keller Pc 1502 Beauchamp St San Antonio TX 78213-1210 Ph: (210) 415-4278 | Rodney C. Keller Pc 319 E Mulberry Ave San Antonio TX 78212-3024 Ph: (210) 415-4278 |
| NPI Number | 1912173063 |
|---|---|
| Provider Enumeration Date | 05/07/2008 |
| Last Update Date | 05/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912173063 | NPI | - | NPPES |
| 064191201 | Medicaid | TX | |
| 1679654545 | Other | TX | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 00472 (Texas) | Primary |
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