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TEXAS KETAMINE SPECIALISTS
NPI 1225673643
Psychiatry & Neurology - Psychiatry in Dallas, TX

Active since November 08, 2019
12740 HILLCREST RD STE 295, DALLAS, TX 75230(469) 774-3069 Get Directions Write a Review

NPPES record last updated: November 8, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Texas Ketamine Specialists NPPES

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

TEXAS KETAMINE SPECIALISTS (NPI 1225673643) is a healthcare organization registered as a psychiatry in Dallas, Texas and active in the NPI registry since November 2019. The organization maintains a secondary practice location in Colleyville and lists Andrea Kim, Physician, as its authorized official.

NPPES Registry Identity

NPI1225673643
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameTEXAS KETAMINE SPECIALISTS
Location Address12740 HILLCREST RD STE 295Dallas, TX 75230-7108
Mailing Address12740 Hillcrest Rd Ste 295Dallas, TX 75230-7108 · (469) 774-3069
Phone(469) 774-3069
Organization SubpartNo
Authorized OfficialAndrea KimPhysician · (469) 774-3069
Enumeration DateNovember 8, 2019
✔ NPI 1225673643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
12740 HILLCREST RD STE 295, Dallas, TX 75230
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Secondary Practice Location 1

Location 16446 Colleyville Blvd., Suite BColleyville, TX 76034 · Phone (469) 844-1350

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIELLE LEONARD COUNSELING
Counselor (Professional)
12740 HILLCREST RD STE 295
DALLAS, TX 75230
Dallas County (469) 844-1491
A. LYNN MEYER LPC
Counselor (Professional)
12740 HILLCREST RD STE 295
DALLAS, TX 75230
Dallas County (972) 385-7447

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Texas Ketamine Specialists's NPI number?

The NPI number for Texas Ketamine Specialists is 1225673643. It was assigned to this organization in the NPPES registry on November 8, 2019.

Where is Texas Ketamine Specialists located?

Texas Ketamine Specialists is located at 12740 Hillcrest Rd Ste 295, Dallas, TX 75230. The listed phone number is (469) 774-3069.

What is Texas Ketamine Specialists's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for Texas Ketamine Specialists was last updated on November 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.