First Keller Healthcare, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

M3258 Issued in TX

Legal business name

FIRST KELLER HEALTHCARE, LLC

Practice address

891 E. Keller Pkwy Ste 101
Keller, TX 76248-2486

Phone

(682) 593-4273

Fax

(682) 307-4300

NPI assigned

Nov 27, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Arturo Ledezma

Title

Administrator

Phone

(682) 593-4273

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Huan Canh Nguyen

  • Family Medicine Physician
  • Keller, TX
  • NPI 1588013569
  Medicare reassignment NPD
• Victor Burgos, DO

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1285851865
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1448582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638489600000",
    "number": "1013381250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "891 E. KELLER PKWY STE 101",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762482486",
            "telephone_number": "682-593-4273",
            "fax_number": "682-307-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "891 E. KELLER PKWY STE 101",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762482486",
            "telephone_number": "682-593-4273",
            "fax_number": "682-307-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST KELLER HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-27",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A",
        "authorized_official_last_name": "LEDEZMA",
        "authorized_official_first_name": "ARTURO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "682-593-4273"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M3258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James M Fesler, LMT
• Nicholas Fetter
• Harrison Scott Field, DDS
• Stacy McCrary Fincher, LCSW
• Firm Foundation Wellness Center
• First Source Wound Care
• Fleming Vision Care LLC
• Jennifer Toepperwein Fleming, LPC
• Zoe Fleming
• Judith Virginia Flesher

• Family Medicine Physician in Keller, TX
• Providers in Keller, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.