Houston Ketamine Specialists PLLC

Primary specialty

Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X

Legal business name

HOUSTON KETAMINE SPECIALISTS PLLC

Practice address

2510 S Loop 336 W Ste 115
Conroe, TX 77304-3737

Phone

(936) 362-3319

Fax

(936) 362-3319

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

Medical Director

Phone

(303) 818-8137

Specialties & licenses 2

Addresses

Practitioners 1

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

• Paul Foster, D.O.

  • Emergency Medicine Physician
  • Austin, TX
  • NPI 1730342460
  NPD (past) Authorized official

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

{
    "created_epoch": "1630886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630886400000",
    "number": "1649948449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 W JOHANNA ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787044235",
            "telephone_number": "303-818-8137",
            "fax_number": "936-362-3319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 S LOOP 336 W STE 115",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043737",
            "telephone_number": "936-362-3319",
            "fax_number": "936-362-3319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSTON KETAMINE SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-06",
        "last_updated": "2021-09-06",
        "certification_date": "2021-09-06",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "MEDICAL 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": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amir Taher Hossain, DO
• Melody Hostasa
• Dawn Housos, LM, CPM
• Houston Advanced Surgical Services, LLC
• Houston Area Nursing Home and Rehabilitaton Management Services
• Houston Mint Dentistry, PLLC
• Houston Optic, PLLC
• Houston Vamc
• Karasha Houston
• Courtlynn Howard, RN

• Infusion Therapy Clinic/Center in Conroe, TX
• Providers in Conroe, TX by specialty
• Infusion Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2021; 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.