Active Ketamine, PLLC
Active Ketamine, PLLC is a Pain Medicine (Psychiatry & Neurology) Physician in Houston, Texas. Registered with an NPI since 2022.
- In the registry since
- 2022
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
12250 Queenston Blvd Ste EHouston, TX 77095-5343
Phone: (281) 201-4511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pain Medicine (Psychiatry & Neurology) Physician (primary) | Taxonomy 2084P2900X |
|---|
Record details
| NPI number | 1073259156 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jared Heathman — Managing Member · (281) 201-4511 |
| NPI enumerated | May 11, 2022 |
| Last updated in NPPES | May 11, 2022 |
| Certification date | May 11, 2022 |
| Mailing address | 12250 Queenston Blvd Ste E, Houston, TX 77095-5343 |
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