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Organization

TEXAS KETAMINE SPECIALISTS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANDREA KIM MD (PHYSICIAN)
(469) 774-3069
Entity
Organization

Contact information

Practice address
12740 HILLCREST RD STE 295, DALLAS, TX 75230-7108
(469) 774-3069
Mailing address
12740 HILLCREST RD STE 295, DALLAS, TX 75230-7108
(469) 774-3069

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
11/08/2019
Last updated
11/08/2019
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