Organization · Type 2 NPI

Active Ketamine, PLLC

Pain Medicine (Psychiatry & Neurology) Physician · Houston, TX

NPI number 1073259156 Active

Practice location

12250 Queenston Blvd Ste E
Houston, TX 77095-5343

Specialties and licenses

TaxonomyCodeLicense
Pain Medicine (Psychiatry & Neurology) Physician Primary 2084P2900XNone listed

Pain Medicine (Psychiatry & Neurology) Physician: A neurologist, child neurologists or psychiatrist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

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About NPI 1073259156

Active Ketamine, PLLC's National Provider Identifier is 1073259156, issued on May 11, 2022. The primary taxonomy on file is Pain Medicine (Psychiatry & Neurology) Physician (2084P2900X), and the practice location is in Houston, TX. The record was last updated on May 11, 2022.