| Texarkana Ketamine Clinic, Pllc | |
|
1724 Galleria Oaks Dr Texarkana TX 75503-4649 | |
| (903) 306-0838 | |
| (903) 306-1286 |
| Full Name | Texarkana Ketamine Clinic, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1724 Galleria Oaks Dr, Texarkana, Texas |
| Authorized Official Name and Position | John J Harris (OWNER) |
| Authorized Official Contact | 9033060838 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Texarkana Ketamine Clinic, Pllc 1724 Galleria Oaks Dr Texarkana TX 75503-4649 Ph: (903) 306-0838 | Texarkana Ketamine Clinic, Pllc 1724 Galleria Oaks Dr Texarkana TX 75503-4649 Ph: (903) 306-0838 |
| NPI Number | 1528795317 |
|---|---|
| Provider Enumeration Date | 08/02/2022 |
| Last Update Date | 10/25/2024 |
| Medicare PECOS PAC ID | 8921533738 |
|---|---|
| Medicare Enrollment ID | O20241203000094 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528795317 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | John J Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194936013 PECOS PAC ID: 1153406251 Enrollment ID: I20091008000585 |
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