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

Ketamine Wellness Centers Dfw, LLC

Organization Registered Nurse · NPI 1770136475

Ketamine Wellness Centers Dfw, LLC is a Registered Nurse in Hurst, Texas. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
3
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

6144 Precinct Line Rd Ste 100
Hurst, TX 76054-2610
Phone: (855) 538-9355
Fax: (844) 538-9355
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X
Registered Nurse Taxonomy 163W00000X
Pain Medicine Physician Taxonomy 208VP0000X

Record details

NPI number1770136475
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anita Jerger — Executive Assistant · (855) 538-9355
NPI enumeratedJuly 22, 2019
Last updated in NPPESAugust 21, 2020
Certification dateAugust 21, 2020
Mailing address6144 Precinct Line Rd Ste 100, Hurst, TX 76054-2613

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