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

Ketamine Wellness Centers Houston

Organization Anesthesiology Physician · NPI 1861008831

Ketamine Wellness Centers Houston is an Anesthesiology Physician in Houston, Texas. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
6
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Practice location Address checks out

12807 Haynes Rd Unit 1
Houston, TX 77066-1124
Phone: (855) 538-9355
Fax: (844) 538-9355
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X
Anesthesiology Physician Taxonomy 207L00000X
Pain Medicine Physician Taxonomy 208VP0000X
Interventional Pain Medicine Physician Taxonomy 208VP0014X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1861008831
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationKetamine Wellness Centers Arizona LLC
Authorized official Anita Jerger — Executive Assistant · (855) 538-9355
Other names Ketamine Wellness Centers; Ketamine Wellness Centers
NPI enumeratedSeptember 16, 2020
Last updated in NPPESAugust 17, 2022
Certification dateAugust 17, 2022
Mailing address12807 Haynes Rd Unit 1, Houston, TX 77066-1124

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