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Organization
TEXARKANA KETAMINE CLINIC, PLLC
Active
Organization
TEXARKANA KETAMINE CLINIC, PLLC
Active
Other names
Transformative Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN J HARRIS MD (OWNER)
(903) 733-3722
Entity
Organization
Contact information
Practice address
4110 RICHMOND PL, TEXARKANA, TX 75503-0001
(430) 294-0284
(430) 294-0282
Mailing address
4110 RICHMOND PL, TEXARKANA, TX 75503-0001
(430) 294-0284
(430) 294-0282
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/02/2022
Last updated
04/22/2026
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