SAN ANTONIO KETAMINE SPECIALISTS PLLC – NPI #1134863822
Clinic/Center

SAN ANTONIO KETAMINE SPECIALISTS PLLC is an AHC clinic located in SAN ANTONIO, TX. NPPES has assigned the NPI number 1134863822 to SAN ANTONIO KETAMINE SPECIALISTS PLLC on April 27, 2022. 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 261QM1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Multi-Specialty

The NPI profile was last updated on Nov 18, 2025. 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 SAN ANTONIO KETAMINE SPECIALISTS PLLC below.

NPI Profile for
SAN ANTONIO KETAMINE SPECIALISTS PLLC

NPI Number
1134863822
Enumeration Date

(more than 4 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
SAN ANTONIO KETAMINE SPECIALISTS PLLC
Primary location
1919 OAKWELL FARMS PKWY
SUITE 110
SAN ANTONIO, TX 78218
Phone: (210) 960-6998 Fax: (210) 960-6998
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
OSCAR MARTINEZ
PRESIDENT
Phone: (214) 298-1809
Updated
Certification Date
Nov 18, 2025

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
261QM1300X
- Clinic/Center / Multi-Specialty (Primary)
261QI0500X
- Clinic/Center / Infusion Therapy

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.