Active Ketamine, Pllc is a Psychiatry | Pain Medicine Clinic in Houston, Texas. It is located at 12250 Queenston Blvd Ste E, Houston, TX and its contact number is 281-201-4511. The authorized person for Active Ketamine, Pllc is Jared Heathman
who is Managing Member of the clinic and his/her contact number is 281-201-4511. Active Ketamine, Pllc Clinic provides a high level of care, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
Complete Clinic Profile:
Active Ketamine, Pllc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Active Ketamine, Pllc
Specialization:
Pain Medicine
Clinic Address:
12250 Queenston Blvd Ste E, Houston, Texas, 77095-5343
Phone:
281-201-4511
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Jared Heathman
Position:
Managing Member
Contact Number:
281-201-4511
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Active Ketamine, Pllc clinic are as mentioned below.
NPI Number:
1073259156
NPI Enumeration Date:
11 May, 2022
NPI Last Update On:
11 May, 2022
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Active Ketamine, Pllc are as mentioned below.
Specialization
License Number
State
Status
Pain Medicine
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Active Ketamine, Pllc 12250 Queenston Blvd Ste E, Houston, Texas
Zip:
77095-5343
Phone Number:
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Patients can reach Active Ketamine, Pllc at 12250 Queenston Blvd Ste E, Houston, Texas or can call to book an appointment on 281-201-4511. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.