Organization
AUSTIN KETAMINE SPECIALISTS PLLC
Active
Organization
AUSTIN KETAMINE SPECIALISTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL FOSTER DO (DIRECTOR)
(303) 818-8137
Entity
Organization
Contact information
Practice address
320 W WILLIAM CANNON DR STE B, AUSTIN, TX 78745-5691
(512) 400-4311
(512) 400-4311
Mailing address
320 W WILLIAM CANNON DR STE B, AUSTIN, TX 78745-5691
(512) 400-4311
(512) 400-4311
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/06/2021
Last updated
11/14/2023
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