KETAMINE CLINIC OF NORTH TEXAS, LLC

CARROLLTON, TX
NPI1558871509
Entity TypeOrganization
Authorized ContactALAN WAYNE CARRUTH
Co Owner
214-929-9875
Organization Subpart ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: TX  F9284)
Enumeration Date2017-10-04
Last Update Date2017-10-04
Business Address
KETAMINE CLINIC OF NORTH TEXAS, LLC
4100 FAIRWAY DR STE 200
CARROLLTON, TX 75010-6527
Phone number: 214-929-9875
Mailing Address
KETAMINE CLINIC OF NORTH TEXAS, LLC
4100 FAIRWAY DR STE 200
CARROLLTON, TX 75010-6527
Phone number: 214-929-9875