KELLER DERMATOLOGY, P.A.
Ambulatory Health at Main St, Keller, TX

License number
Texas F6536
Category
Ambulatory Health
Type
Medical Specialty
Owner
Name: DR. JACK B COHEN D.O.
Title: PRESIDENT
Phone: (817) 753-6633
Address
Address
601 S Main St SUITE 115, Keller, TX 76248
National Provider ID: 1588985683
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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KELLER DERMATOLOGY, PA

601 S Main St STE 115, Keller, TX 76248

Industry:
Medical Doctor's Office
Registration:
Apr 26, 2010
Phone:
(817) 753-6633 (Phone)
State ID:
0801261298
Business type:
Professional Association
F N Ps:
Jack B. Cohen (Dermatology, Osteopathy, President, Principal, Secretary, Treasurer, Vice-President, Director, Member),Casandra Muff F N P, inactive
TIN:
32041727812
Categories:
Dermatology Physicians & Surgeons
Certifications:
Certified Dermatologist

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