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PROSPER KETAMINE & IV NUTRITION THERAPY LLC NPI 1174300693


NPI Information

NPI: 1174300693
Provider Name: PROSPER KETAMINE & IV NUTRITION THERAPY LLC
Classification: Anesthesiology - 207LP2900X
Entity Type: Organization

Specialization: Pain Medicine

Address:
1400 N COIT RD STE 1103
MCKINNEY, TX
ZIP 75071
Phone: (469) 584-9905
Get Directions

PROSPER KETAMINE & IV NUTRITION THERAPY LLC is a pain medicine anesthesiology in Mckinney, TX. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. PROSPER KETAMINE & IV NUTRITION THERAPY LLC NPI is 1174300693. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1400 N COIT RD STE 1103
MCKINNEY, TX
ZIP 75071-659
Phone: (469) 584-9905
Fax: (469) 343-1998

The provider's authorized official is Berenice Anjie Bisong .
The authorized official title is Administrator and has the following contact phone number (469) 584-9905.

The enumeration date for this NPI number is 9/8/2023 and was last updated on 10/13/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207LP2900XAnesthesiologyPain MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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