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KETAMINE WELLNESS CENTERS HOUSTON NPI 1861008831


NPI Information

NPI: 1861008831
Provider Name: KETAMINE WELLNESS CENTERS HOUSTON

Doing Business As: KETAMINE WELLNESS CENTERS

Classification: Anesthesiology - 207LP2900X
Entity Type: Organization

Specialization: Pain Medicine

Address:
12807 HAYNES RD UNIT 1
HOUSTON, TX
ZIP 77066
Phone: (855) 538-9355
Get Directions

KETAMINE WELLNESS CENTERS HOUSTON is a pain medicine anesthesiology in Houston, TX. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. KETAMINE WELLNESS CENTERS HOUSTON NPI is 1861008831. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Ketamine Wellness Centers.

The provider's business location address is:

12807 HAYNES RD UNIT 1
HOUSTON, TX
ZIP 77066-124
Phone: (855) 538-9355
Fax: (844) 538-9355

The provider's authorized official is Anita Jerger .
The authorized official title is Executive Assistant and has the following contact phone number (855) 538-9355.

The enumeration date for this NPI number is 9/16/2020 and was last updated on 8/17/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207L00000XAnesthesiologyNo
2208VP0000XPain MedicinePain MedicineNo
3208VP0014XPain MedicineInterventional Pain MedicineNo
4363A00000XPhysician AssistantNo
5363L00000XNurse PractitionerNo
6207LP2900XAnesthesiologyPain MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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