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

Prosper Ketamine & IV Nutrition Therapy LLC

Organization Pain Medicine (Anesthesiology) Physician · NPI 1174300693

Prosper Ketamine & IV Nutrition Therapy LLC is a Pain Medicine (Anesthesiology) Physician in McKinney, Texas. Registered with an NPI since 2023.

In the registry since
2023
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

1400 N Coit Rd Ste 1103
McKinney, TX 75071-6659
Phone: (469) 584-9905
Fax: (469) 343-1998
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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

Record details

NPI number1174300693
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bercey Ntoung — Administrator · (469) 584-9905
NPI enumeratedSeptember 8, 2023
Last updated in NPPESOctober 23, 2023
Certification dateOctober 23, 2023
Mailing address1400 N Coit Rd Ste 1103, McKinney, TX 75071-6659

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