Organization Active NPI

Strivemd Wellness & Ketamine of Texas PLLC

  • Anesthesiology Physician
  • Frisco, TX
National Provider Identifier
1295486355
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
STRIVEMD WELLNESS & KETAMINE OF TEXAS PLLC
Practice address
7044 Lebanon Rd Ste 102
Frisco, TX 75034-7459
Phone
(214) 385-8821
NPI assigned
Jan 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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

Authorized official

Name
Gregory B Gaskin II, MDNPI 1477739308
Title
Authorized Representative
Phone
(214) 385-8821

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

7044 Lebanon Rd Ste 102
Frisco, TX 75034-7459

Mailing address

7044 Lebanon Rd Ste 102
Frisco, TX 75034-7459

National Provider Directory

National Provider Directory

Locations

7044 Lebanon Rd
Ste 102
Frisco, TX 75034
Phone (214) 385-8822

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1641859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641859200000",
    "number": "1295486355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7044 LEBANON RD STE 102",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750347459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7044 LEBANON RD STE 102",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750347459",
            "telephone_number": "214-385-8821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRIVEMD WELLNESS & KETAMINE OF TEXAS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-11",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A",
        "authorized_official_last_name": "GASKIN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "214-385-8821",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; 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.