HOUSTON KETAMINE SPECIALISTS PLLC – NPI #1649948449
Clinic/Center

HOUSTON KETAMINE SPECIALISTS PLLC is an AHC clinic located in CONROE, TX. NPPES has assigned the NPI number 1649948449 to HOUSTON KETAMINE SPECIALISTS PLLC on September 06, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QI0500X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Infusion Therapy

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for HOUSTON KETAMINE SPECIALISTS PLLC below.

NPI Profile for
HOUSTON KETAMINE SPECIALISTS PLLC

NPI Number
1649948449
Enumeration Date

(about 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
HOUSTON KETAMINE SPECIALISTS PLLC
Primary location
2510 S LOOP 336 W STE 115
CONROE, TX 77304-3737
Phone: (936) 362-3319 Fax: (936) 362-3319
Mailing address
409 W JOHANNA ST
AUSTIN, TX 78704-4235
Phone: (303) 818-8137 Fax: (936) 362-3319
Organization Subpart
No
Authorized Official
PAUL FOSTER
MEDICAL DIRECTOR
Phone: (303) 818-8137
Updated
Certification Date
Sep 06, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QI0500X
- Clinic/Center / Infusion Therapy (Primary)
261Q00000X
- Clinic/Center

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.