Provider Demographics
NPI:1033182332
Name:KELLER, ARTHUR LOWELL (DC)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:LOWELL
Last Name:KELLER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 HOLCOMBE BLVD
Mailing Address - Street 2:3406
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-4222
Mailing Address - Country:US
Mailing Address - Phone:713-797-1043
Mailing Address - Fax:
Practice Address - Street 1:3033 CHIMNEY ROCK RD
Practice Address - Street 2:440
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-6249
Practice Address - Country:US
Practice Address - Phone:713-781-3344
Practice Address - Fax:713-781-3756
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5414111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXC06056607Medicaid
TXT65699Medicare UPIN
TXC06056607Medicaid