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

Texarkana Ketamine Clinic, PLLC

Organization Family Medicine Physician · NPI 1528795317

Texarkana Ketamine Clinic, PLLC is a Family Medicine Physician in Texarkana, Texas. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4110 Richmond Pl
Texarkana, TX 75503-0001
Phone: (430) 294-0284
Fax: (430) 294-0282
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1528795317
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Harris — Owner · (903) 733-3722
Other names Transformative Wellness
NPI enumeratedAugust 2, 2022
Last updated in NPPESApril 22, 2026
Certification dateApril 22, 2026
Mailing address4110 Richmond Pl, Texarkana, TX 75503-0001

Other providers in Texarkana