| Texarkana Ketamine Clinic, Pllc | |
|
4110 Richmond Pl Texarkana TX 75503-0001 | |
| (430) 294-0284 | |
| (430) 294-0282 |
| Full Name | Texarkana Ketamine Clinic, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 4110 Richmond Pl, Texarkana, Texas |
| Authorized Official Name and Position | John J Harris (OWNER) |
| Authorized Official Contact | 9037333722 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Texarkana Ketamine Clinic, Pllc 4110 Richmond Pl Texarkana TX 75503-0001 Ph: (430) 294-0284 | Texarkana Ketamine Clinic, Pllc 4110 Richmond Pl Texarkana TX 75503-0001 Ph: (430) 294-0284 |
| NPI Number | 1528795317 |
|---|---|
| Provider Enumeration Date | 08/02/2022 |
| Last Update Date | 04/22/2026 |
| 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 |
Special Health Resources For Texas, Incorporated Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1002 Texas Blvd Ste 320, 325, Texarkana, TX 75501 Phone: 903-792-5924 Fax: 903-792-8224 | |
Express Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5483 Summerhill Rd, Texarkana, TX 75503 Phone: 903-223-5931 Fax: 903-223-5930 | |
East Texas Border Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1400 College Dr, Texarkana, TX 75503 Phone: 903-791-1110 Fax: 903-791-9353 | |
East Texas Border Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 College Dr, Texarkana, TX 75503 Phone: 903-791-1110 Fax: 903-791-9353 | |
Trimuph Internal Medicine Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4082 Summerhill Sq, Texarkana, TX 75503 Phone: 903-793-7994 Fax: 903-793-7996 | |
Hygeia At Delphi Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6714 Lawson Cir, Texarkana, TX 75503 Phone: 903-556-9317 | |
Nathan J Wright Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2014 Galleria Oaks Dr, Texarkana, TX 75503 Phone: 903-792-2991 Fax: 903-793-7996 |