Basic Information
| Provider Information | |||||||||
| NPI: | 1265432132 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KELLER | ||||||||
| FirstName: | FRANCIS | ||||||||
| MiddleName: | X. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2929 ALLEN PKWY STE 200 | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770197123 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2805809030 | ||||||||
| FaxNumber: | 2815802725 | ||||||||
| Practice Location | |||||||||
| Address1: | 2411 FOUNTAIN VIEW DR | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770574817 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7136204000 | ||||||||
| FaxNumber: | 7134584229 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/21/2005 | ||||||||
| LastUpdateDate: | 10/23/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207LP2900X | F9655 | TX | Y | Allopathic & Osteopathic Physicians | Anesthesiology | Pain Medicine |
ID Information
| ID | Type | State | Issuer | Description | 8CB117 | 01 | TX | BLUE CROSS BLUE SHIELD | OTHER | 097430505 | 05 | TX | MEDICAID | 8AW313 | 01 | TX | BLUE CROSS BLUE SHIELD | OTHER | 097430502 | 05 | TX | MEDICAID | 097430504 | 05 | TX | MEDICAID |