KETAMINE CLINIC OF WEST TEXAS


Address: 5105 Sunmore Cir Ste A, Midland, TX 79707-5197
Phone: 4323522865

KETAMINE CLINIC OF WEST TEXAS (NPI# 1740808070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740808070
Entity Type Organization
Organization Name KETAMINE CLINIC OF WEST TEXAS
Practice Address 5105 Sunmore Cir Ste A
Midland
TX 79707-5197
Practice Telephone 4323522865
Practice Fax Number 4326956411
Mailing Telephone 4323522865
Mailing Fax Number 4326956411
Enumeration Date 2020-07-13
Last Update Date 2020-07-13
Authorized Official Name TAMARA LYNN VAUGHT (OWNER)
Authorized Official Telephone 4323522865
Authorized Official Credential CRNA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center Ambulatory Health Care Facilities

Office Location

Street Address 5105 SUNMORE CIR STE A
City MIDLAND
State TX
Zip Code 79707-5197

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548861164 Daniel & Max, LLC Optometrist 3110 N Loop 250 W, Suite 200, Midland, TX 79707 2020-11-02
1396196036 Endurance Inc Pharmacy 4906 Briarwood, Midland, TX 79707 2016-06-23
1841683356 Carson Riley Phillips Dentist 4425 W Wadley Ave Ste 100, Midland, TX 79707 2015-03-07
1336538610 Permian Basin Er II Clinic/Center 3201 N. Midland Drive, Ste 130, Midland, TX 79707 2015-01-09
1659776342 Cvs Pharmacy Inc Durable Medical Equipment & Medical Supplies 5315 Briarwood Ave, Midland, TX 79707 2014-10-24
1982958799 Tara Rae Nagel Nurse Practitioner 4214 Mamies Cir, Midland Pediatric Associates, Midland, TX 79707 2012-10-31
1336432046 Ashley Thrasher Bell Physician Assistant 3600 N Garfield, Ttuhsc Pa Program, Midland, TX 79707 2011-05-27
1053626622 Jerry Milton Lyon Nurse Practitioner 5000 Briarwood Ave Ste 203, Midland, TX 79707 2010-08-08
1053645838 Marta Willoughby Md Pa Clinic/Center 3423 Caldera, Midland, TX 79707 2009-09-25
1326251950 Bonnie Lloyd Clemmer Registered Nurse 3600 W Loop 250 North, Apt 1083, Midland, TX 79707 2007-05-08
Find all providers in zip 79707

Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013169044 Mcandrew's Eye Clinic Clinic/Center 700 N Marienfeld St, Midland, TX 79701-3360 2008-10-22
1477560068 Permian Basin Community Centers for Mhmr Clinic/Center 401 E Illinois Ave, Ste 400, Midland, TX 79701 2006-08-03
1487669875 Permian Basin Community Centers for Mhmr Clinic/Center 3701 N Big Spring, Midland, TX 79702 2006-07-31
1497700884 First K. Craig Keate Dds Ltd Clinic/Center 4610 N Garfield St, #b-12, Midland, TX 79705-2663 2006-05-23
1528033032 Neuro Rehab & Lyphmoedema Care Center Clinic/Center 2611 Sunburst Dr, Midland, TX 79707-5111 2006-02-18
1376973149 Midmichigan Medical Center Midland Clinic/Center 4009 Orchard Dr, Midland, MI 48640-6122 2013-11-15
1952564650 Patrick Leung Md Pa Clinic/Center 2102 W Michigan Ave, Midland, TX 79701-5928 2008-07-03
1467463174 Permain Basin Community Centers for Mhmr Clinic/Center 401 E Illinois Ave, Ste 400, Midland, TX 79701-4803 2006-08-10
1801806021 Permian Basin Community Centers for Mhmr Clinic/Center 401 E Illinois Ave, Ste 200, Midland, TX 79701 2006-08-09
1306855465 Permian Basin Community Centers for Mhmr Clinic/Center 401 E Illinois Ave, Ste 200, Midland, TX 79701 2006-08-07
Find all providers in MIDLAND

Competitor

Search similar providers

City MIDLAND
Zip Code 79707

Improve Information

Please comment or provide details below to improve the information on KETAMINE CLINIC OF WEST TEXAS.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches