Active Ketamine, Pllc

LBN: Active Ketamine, Pllc
Active Ketamine, Pllc is an health care organization with primary practice located at 12250 Queenston Blvd Ste E , Houston TX 77095-5343. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty. Active Ketamine, Pllc can be contacted via phone (281) 201-4511, or through Heathman, Jared via phone (281) 201-4511.

Contact Information

Primary practice address
12250 Queenston Blvd Ste E Houston TX 77095-5343
Phone: (281) 201-4511
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Heathman, Jared
Phone: (281) 201-4511

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2084P2900X

Profile Details

NPI number 1073259156
LBN Legal business name Active Ketamine, Pllc
DBA Doing business as
Authorized official Heathman, Jared
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2022
Last updated May 11th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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