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PROSPER KETAMINE & IV NUTRITION THERAPY LLC
NPI 1174300693
Anesthesiology - Pain Medicine in Mckinney, TX

Active since September 08, 2023
1400 N COIT RD STE 1103, MCKINNEY, TX 75071(469) 584-9905(469) 343-1998 Get Directions Write a Review

NPPES record last updated: October 13, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 23, 2023, Oct 13, 2023, Sep 8, 2023 (3 updates tracked since 2023).

About Prosper Ketamine & Iv Nutrition Therapy Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROSPER KETAMINE & IV NUTRITION THERAPY LLC (NPI 1174300693) is a healthcare organization registered as a pain medicine in Mckinney, Texas and active in the NPI registry since September 2023. The organization lists Berenice Anjie Bisong, Administrator, as its authorized official.

NPPES Registry Identity

NPI1174300693
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NamePROSPER KETAMINE & IV NUTRITION THERAPY LLC
Location Address1400 N COIT RD STE 1103Mckinney, TX 75071-6659
Mailing Address1400 N Coit Rd Ste 1103Mckinney, TX 75071-6659 · (469) 584-9905 · Fax (469) 343-1998
Phone(469) 584-9905
Fax(469) 343-1998
Organization SubpartNo
Authorized OfficialBerenice Anjie BisongAdministrator · (469) 584-9905
Enumeration DateSeptember 8, 2023
Last NPPES UpdateOctober 13, 20233 updates tracked since enumeration
NPPES CertifiedOctober 13, 2023
✔ NPI 1174300693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
Definition

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

1400 N COIT RD STE 1103, Mckinney, TX 75071
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions

What is PROSPER KETAMINE & IV NUTRITION THERAPY LLC's NPI number?

The NPI number assigned to this healthcare provider is 1174300693, enumerated as an "organization" on September 08, 2023.

Where is the provider located?

The provider is located at 1400 N COIT RD STE 1103 MCKINNEY, TX 75071 and the phone number is (469) 584-9905.

What is the provider's specialty?

Anesthesiology with taxonomy code 207LP2900X and a focus in Pain Medicine.