KETAMINE WELLNESS CENTERS HOUSTON, LLC


Address: 12807 Haynes Rd Unit 1, Houston, TX 77066-1124
Phone: 8555389355

KETAMINE WELLNESS CENTERS HOUSTON, LLC (NPI# 1861008831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861008831
Entity Type Organization
Organization Name KETAMINE WELLNESS CENTERS HOUSTON, LLC
Other Organization Name KETAMINE WELLNESS CENTERS
Practice Address 12807 Haynes Rd Unit 1
Houston
TX 77066-1124
Practice Telephone 8555389355
Practice Fax Number 8445389355
Mailing Telephone 8555389355
Mailing Fax Number 8445389355
Enumeration Date 2020-09-16
Last Update Date 2020-09-22
Authorized Official Name MS. ANITA JERGER (EXECUTIVE ASSISTANT)
Authorized Official Telephone 8555389355
Is Organization Subpart Y
Parent Organization Name KETAMINE WELLNESS CENTERS ARIZONA LLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207L00000X Anesthesiology Allopathic & Osteopathic Physicians
N 208VP0000X Pain Medicine
Specialization: Pain Medicine
Allopathic & Osteopathic Physicians
N 208VP0014X Pain Medicine
Specialization: Interventional Pain Medicine
Allopathic & Osteopathic Physicians
N 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers
N 363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers
Y 207LP2900X Anesthesiology
Specialization: Pain Medicine
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Ketamine Wellness Centers Doing Business As Name - Organization

Office Location

Street Address 12807 HAYNES RD UNIT 1
City HOUSTON
State TX
Zip Code 77066-1124

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184289886 Ashley Watley Occupational Therapy Assistant 4710 Sabrina Drive, Houston, TX 77066 2019-05-08
1275025850 Angela Buie Phlebology 5907 Queensgate Dr., Hse, Houston, TX 77066 2018-05-31
1285906974 Thuy Thi Tran Pharmacist 12702 Bammel-north Houston, Houston, TX 77066 2012-01-27
1548562457 Luv-n-joi At Home Care Home Health 11423 Weathering Oaks Drive, Houston, TX 77066 2010-11-29
1003130568 Axis Ems Services Inc Ambulance 11426 Courtcliff, Houston, TX 77066 2010-03-26
1275701096 Alicia Renee Green - Scott Counselor 2902 Milroy Lane, Houston, TX 77066 2008-02-14
1447270756 After Care Ambulance Transfer Inc Ambulance 13940 Bammel N Houston, #223, Houston, TX 77066 2006-07-20
1720047632 Texas Medical & Mobility Durable Medical Equipment & Medical Supplies 7007 Belgold, Sui H, Houston, TX 77066 2006-03-20
1528555307 Champions Point Family Clinic LLC Clinic/Center 5367 W Richey Rd, Houston, TX 77066 2018-04-17
1902999774 Patricia Monette Williams Counselor 12902 Haynes Rd, Suite B, Houston, TX 77066 2006-10-02
Find all providers in zip 77066

Taxonomy Information

Taxonomy Code 207LP2900X
Grouping Allopathic & Osteopathic Physicians
Classification Anesthesiology
Specialization Pain Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346721834 Interventional Pain and Wellness Anesthesiology 4543 Post Oak Place Dr Ste 123, Houston, TX 77027-3103 2018-08-23
1578058863 Heights Diagnostics LLC Anesthesiology 11006 Landon Ln, Houston, TX 77024-5402 2018-06-28
1831699933 Integrated Health and Pain Management Pllc Anesthesiology 1120 Nasa Pkwy Ste 220q, Houston, TX 77058-3342 2018-02-15
1922559988 Foundation for Better Education Anesthesiology 3920 Braxton Dr Ste 110, Houston, TX 77063-6304 2016-10-14
1740645787 Delta Spine and Pain Clinic Pa Anesthesiology 12000 Richmond Ave Ste 270, Houston, TX 77082-2431 2015-12-17
1093109167 Colbert Pllc Anesthesiology 6121 Hillcroft St # 0, Houston, TX 77081-1002 2015-03-26
1053752428 Gulf Coast Pain Specialists Pllc Anesthesiology 10930 Resource Pkwy Ste A, Houston, TX 77089-6157 2013-07-12
1063760858 Saman Kohanof Anesthesiology 6431 Fannin St Ste 5196, Houston, TX 77030-1501 2012-08-27
1164778528 Thuan Duc Dao Anesthesiology 9701 Richmond Ave Ste 220, Houston, TX 77042-4622 2012-08-02
1215293808 Cole Andrew Fitzgerald Anesthesiology 13300 Hargrave Rd Ste 505, Houston, TX 77070-4374 2012-04-08
Find all providers in HOUSTON

Competitor

Search similar providers

City HOUSTON
Zip Code 77066

Improve Information

Please comment or provide details below to improve the information on KETAMINE WELLNESS CENTERS HOUSTON, LLC.

Dataset Information

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.

Trending Searches