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: | -- |
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 13 May, 2024.