Austin Ketamine Specialists PLLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

AUSTIN KETAMINE SPECIALISTS PLLC

Practice address

320 W William Cannon Dr Ste B
Austin, TX 78745-5691

Phone

(512) 400-4311

Fax

(512) 400-4311

NPI assigned

Sep 6, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Paul Foster, DONPI 1730342460

Title

Director

Phone

(303) 818-8137

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paul Foster, D.O.

  • Emergency Medicine Physician
  • Austin, TX
  • NPI 1730342460
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1630886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699920000000",
    "number": "1093483893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 W WILLIAM CANNON DR STE B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787455691",
            "telephone_number": "512-400-4311",
            "fax_number": "512-400-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 W WILLIAM CANNON DR STE B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787455691",
            "telephone_number": "512-400-4311",
            "fax_number": "512-400-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN KETAMINE SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-06",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "303-818-8137",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Multi-Specialty Clinic/Center in Austin, TX
• Providers in Austin, TX by specialty
• Multi-Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.