Organization
KETAMINE HEALTH & WELLNESS CENTER OF TEXAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LESLIE K HILL (BILLING MANAGER)
(972) 980-0500
Entity
Organization
Contact information
Practice address
5944 W PARKER RD STE 400, PLANO, TX 75093-6443
(972) 980-0500
(972) 980-0503
Mailing address
5944 W PARKER RD STE 400, PLANO, TX 75093-6443
(972) 980-0500
(972) 980-0503
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
L4969
TX
Other
Enumeration date
07/13/2017
Last updated
07/21/2022
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