SOUTHWEST KETAMINE TREATMENT CENTERS, PLLC (NPI# 1467003277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467003277 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST KETAMINE TREATMENT CENTERS, PLLC |
| Practice Address |
1350 W Walnut Hill Ln Ste 100 Irving TX 75038-3025 |
| Mailing Address |
5000 Alicia Dr Fort Worth TX 76133-7902 |
| Practice Telephone | 2145602000 |
| Mailing Telephone | 8179662762 |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2020-06-12 |
| Authorized Official Name | DR. ROBERT LOUIS DELILLO (MANAGING PARTNER) |
| Authorized Official Telephone | 2145602000 |
| Authorized Official Credential | DNP, CRNA, NSPM- |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
1350 W WALNUT HILL LN STE 100 |
| City | IRVING |
| State | TX |
| Zip Code | 75038-3025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194728352 | Robert Groysman | Anesthesiology | 1350 W Walnut Hill Ln Ste 100, Irving, TX 75038-3025 | 2005-05-23 |
| 1003431297 | Eeg Monitoring, LLC | Physiological Laboratory | 1350 W Walnut Hill Ln Ste 100, Irving, TX 75038-3025 | 2020-06-12 |
| 1861038804 | Tall Tree Solutions Pllc | Electrodiagnostic Medicine | 1350 W Walnut Hill Ln Ste 100, Irving, TX 75038-3025 | 2019-11-25 |
| 1972150506 | Vigilant Pain and Anesthesiology Consultants, Pllc | Anesthesiology | 1350 W Walnut Hill Ln Ste 100, Irving, TX 75038-3025 | 2019-08-19 |
| 1255803318 | Tangent Medical Solutions, Pllc | Physical Medicine & Rehabilitation | 1350 W Walnut Hill Ln Ste 100, Irving, TX 75038-3025 | 2018-12-28 |
| 1275001307 | Quantum Anesthesia | Anesthesiology | 1350 W Walnut Hill Ln Ste 100, Irving, TX 75038-3025 | 2018-11-07 |
| 1255810032 | Studio360 Pain & Stem Cell Center | Pain Medicine | 1350 W Walnut Hill Ln Ste 100, Irving, TX 75038-3025 | 2018-08-13 |
| 1609353374 | Robert Groysman Md Pa | Anesthesiology | 1350 W Walnut Hill Ln Ste 100, Irving, TX 75038-3025 | 2018-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457959587 | S&w Primary Home Care | Home Health | 3921 Timberidge Drive, Irving, TX 75038 | 2020-10-12 |
| 1295372928 | Wecare Tlc | Clinic/Center | 777 Hidden Ridge, Irving, TX 75038 | 2019-12-02 |
| 1407369135 | North Texas Psychiatry Associates Pllc | Psychiatry & Neurology | 4020 N. Macarthur Blvd, Suite 122 - 153, Irving, TX 75038 | 2017-11-16 |
| 1164970745 | Young Men's Christian Association of Metropolitan Dallas | Health Educator | 1621 W Walnut Hill Ln, Irving, TX 75038 | 2016-09-13 |
| 1285086397 | Edge-md Holding Pllc | Family Medicine | 1200 W. Walnut Hill Lane, Suite 3950, Irving, TX 75038 | 2016-07-13 |
| 1912318445 | Alliance Neurodiagnostics, LLC | Clinic/Center | 4545 Fuller Dr Ste 200, Irving, TX 75038 | 2014-05-19 |
| 1790029841 | Paul Dean Allen | Counselor | 5525 N. Macarthur Blvd, Suite 800, Mhn Government Services, Irving, TX 75038 | 2012-11-15 |
| 1437403227 | Dashwood Pharmacy | Pharmacy | 1300 W. Walnut Hill Lane, Suite 163, Irving, TX 75038 | 2012-11-01 |
| 1265795538 | Michael Fooshee | Dentist | 3007 Skyway Circle North, Suite 100, Irving, TX 75038 | 2012-06-20 |
| 1205107273 | Sylviane Akenda Kasende | Nurse Practitioner | 2925 Skyway Circle N, Irving, TX 75038 | 2012-01-23 |
| Find all providers in zip 75038 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144881814 | Texas Mercy Headache and Pain Pllc | Anesthesiology | 4925 N O Connor Rd Ste 105, Irving, TX 75062-2760 | 2019-06-24 |
| 1043363443 | Teddrick Lovell Dunson | Anesthesiology | 4301 N Macarthur Blvd Ste 107, Irving, TX 75038-6497 | 2007-01-19 |
| 1013942358 | Prabhav K Tella | Anesthesiology | 825 West Royal Lane, #230, Irving, TX 75039 | 2006-07-12 |
| 1326523242 | Teddrick Dunson, Pllc | Anesthesiology | 4301 N Macarthur Blvd Ste 107, Irving, TX 75038-6497 | 2018-09-26 |
| 1184098899 | Nsa Pain Services of Ohio, LLC | Anesthesiology | 6225 N State Highway 161 Ste 200, Irving, TX 75038-2241 | 2015-11-18 |
| 1407229479 | Nsa Pain Services of Michigan, Pllc | Anesthesiology | 6225 N State Highway 161 Ste 200, Irving, TX 75038-2241 | 2015-11-12 |
| 1760748859 | Chonghua Wang | Anesthesiology | 1110 Cottonwood Ln Ste 110, Irving, TX 75038-6121 | 2012-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033930 | Phuong Dinh Nguyen | Anesthesiology | 11726 E Streamertail Cir # 2, Cypress, TX 77433-6732 | 2020-11-08 |
| 1699375576 | Prwcswtx LLC | Anesthesiology | 700 Paredes Ave Ste 107, Brownsville, TX 78521-2169 | 2020-10-29 |
| 1235742388 | Tricity Pain Associates Pa | Anesthesiology | 14800 San Pedro Ave Ste 115, San Antonio, TX 78232-3734 | 2020-08-28 |
| 1669081915 | Laila Pm&a Group Inc | Anesthesiology | 1803 Longwood Ct, Allen, TX 75013-3074 | 2020-07-23 |
| 1164050498 | Manuel Ybarra Md | Anesthesiology | 255 E Sonterra Blvd Ste 203, San Antonio, TX 78258-4076 | 2020-03-31 |
| 1104451079 | Daniel Dalton Dubose, Md, Pa | Anesthesiology | 201 Crown Pointe Blvd Ste 200, Willow Park, TX 76087-1304 | 2020-03-11 |
| 1700423738 | Esplanade Medical Services Pllc | Anesthesiology | 2024 W 15th St # F-366, Plano, TX 75075-7363 | 2019-12-10 |
| 1760027700 | Sameer Syed, Md, Pa | Anesthesiology | 3151 W 15th St Ste B, Plano, TX 75075-7731 | 2019-11-13 |
| 1518501030 | Institute of Precision Pain Medicine, Pllc | Anesthesiology | 13725 Northwest Blvd Ste 120a, Corpus Christi, TX 78410-3743 | 2019-10-29 |
| 1629628672 | Yancey Pain & Spine, Lllp | Anesthesiology | 9200 Pinecroft Dr Ste 330, Shenandoah, TX 77380-3279 | 2019-09-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.