Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ketamine Clinic of North Texas, LLC

Organization Anesthesiology Physician · NPI 1558871509

Ketamine Clinic of North Texas, LLC is an Anesthesiology Physician in Carrollton, Texas. Licensed in Texas. Registered with an NPI since 2017.

Licensed in
TX
In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4100 Fairway Dr Ste 200
Carrollton, TX 75010-6527
Phone: (214) 929-9875
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence F9284 (TX)

Record details

NPI number1558871509
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alan Carruth — Co-Owner · (214) 929-9875
NPI enumeratedOctober 4, 2017
Last updated in NPPESOctober 4, 2017
Mailing address4100 Fairway Dr Ste 200, Carrollton, TX 75010-6527

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