| Texas Ketamine Specialists | |
|
12740 Hillcrest Rd Ste 295 Dallas TX 75230-7108 | |
| (469) 774-3069 | |
| Not Available |
| Full Name | Texas Ketamine Specialists |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 12740 Hillcrest Rd Ste 295, Dallas, Texas |
| Authorized Official Name and Position | Andrea Kim (PHYSICIAN) |
| Authorized Official Contact | 4697743069 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Texas Ketamine Specialists 12740 Hillcrest Rd Ste 295 Dallas TX 75230-7108 Ph: (469) 774-3069 | Texas Ketamine Specialists 12740 Hillcrest Rd Ste 295 Dallas TX 75230-7108 Ph: (469) 774-3069 |
| NPI Number | 1225673643 |
|---|---|
| Provider Enumeration Date | 11/08/2019 |
| Last Update Date | 11/08/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225673643 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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