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

South Texas Ketamine Physicians PLLC

Organization Emergency Medicine Physician · NPI 1477254217

South Texas Ketamine Physicians PLLC is an Emergency Medicine Physician in San Antonio, Texas. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4334 N Loop 1604 W # 221
San Antonio, TX 78249-3484
Phone: (210) 259-6682
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X

Record details

NPI number1477254217
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tennessee Bailey — Ceo · (210) 259-6682
NPI enumeratedMarch 16, 2023
Last updated in NPPESMarch 16, 2023
Certification dateMarch 16, 2023
Mailing address1150 N Loop 1604 W Ste 108, San Antonio, TX 78248-4504

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