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Texarkana Ketamine Clinic, Pllc
Pain Clinic/Center in Texarkana, Texas
NPI 1528795317

Texarkana Ketamine Clinic, Pllc is a Pain Clinic/Center based in Texarkana, TX and is specialized in Pain. Texarkana Ketamine Clinic, Pllc practices in Texarkana, TX. The NPI Number for Texarkana Ketamine Clinic, Pllc is 1528795317 and holds a License No. (Texas).

The current practice location address for Texarkana Ketamine Clinic, Pllc is 1724 Galleria Oaks Dr, Texarkana, TX and can be reached out via phone at 903-306-0838 and via fax at 903-306-1286.

Location: 1724 Galleria Oaks Dr, Texarkana, TX, 75503-4649
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1528795317
Provider Name
Texarkana Ketamine Clinic, Pllc
Credential
Provider Entity Type
Organization
Address
1724 Galleria Oaks Dr, Texarkana, TX, 75503-4649
Phone Number
903-306-0838
Fax Number
903-306-1286
Provider Enumeration Date
08/02/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1724 Galleria Oaks Dr
City
Texarkana
State
Texas
Zip
75503-4649
Phone Number
903-306-0838
Fax Number
903-306-1286
person
Provider Business Mailing Address Details
Address
1724 Galleria Oaks Dr
City
Texarkana
State
Texas
Zip
75503-4649
Phone Number
903-306-0838
Fax Number
903-306-1286
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Infusion Therapy
Taxonomy
261QI0500X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Pain
Taxonomy
261QP3300X
License No.
()
Definition
Definition to come...
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