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KETAMINE CLINIC OF NORTH TEXAS, LLC
NPI 1558871509
Anesthesiology in Carrollton, TX

Active since October 04, 2017
4100 FAIRWAY DR STE 200, CARROLLTON, TX 75010(214) 929-9875 Get Directions Write a Review

NPPES record last updated: October 4, 2017. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Ketamine Clinic Of North Texas, Llc NPPES

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

KETAMINE CLINIC OF NORTH TEXAS, LLC (NPI 1558871509) is a healthcare organization registered as an anesthesiology in Carrollton, Texas and active in the NPI registry since October 2017. The organization lists Alan Wayne Carruth, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1558871509
Entity TypeOrganization
Primary Taxonomy207L00000X
Legal Business NameKETAMINE CLINIC OF NORTH TEXAS, LLC
Location Address4100 FAIRWAY DR STE 200Carrollton, TX 75010-6527
Mailing Address4100 Fairway Dr Ste 200Carrollton, TX 75010-6527 · (214) 929-9875
Phone(214) 929-9875
Organization SubpartNo
Authorized OfficialAlan Wayne CarruthCo-owner · (214) 929-9875
Enumeration DateOctober 4, 2017
✔ NPI 1558871509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in TX · F9284
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
4100 FAIRWAY DR STE 200, Carrollton, TX 75010
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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 3

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

SUJA MARY THOMAS M. ED., LPC
Counselor (Professional)
4100 FAIRWAY DR STE 200
CARROLLTON, TX 75010
Denton County (972) 221-1741
CONSTANCE MARIE FRIEDL PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
4100 FAIRWAY DR STE 200
CARROLLTON, TX 75010
Denton County (972) 221-1741
ANNA LUCCHESI M.ED., LPC-S
Counselor (Professional)
4100 FAIRWAY DR STE 200
CARROLLTON, TX 75010
Denton County (214) 306-5156

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 Ketamine Clinic Of North Texas, LLC's NPI number?

The NPI number for Ketamine Clinic Of North Texas, LLC is 1558871509. It was assigned to this organization in the NPPES registry on October 4, 2017.

Where is Ketamine Clinic Of North Texas, LLC located?

Ketamine Clinic Of North Texas, LLC is located at 4100 Fairway Dr Ste 200, Carrollton, TX 75010. The listed phone number is (214) 929-9875.

What is Ketamine Clinic Of North Texas, LLC's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

When was this NPI record last updated?

The NPPES record for Ketamine Clinic Of North Texas, LLC was last updated on October 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.