Texarkana Ketamine Clinic, PLLC
NPI 1528795317 · Family Medicine Physician · Texarkana, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Texarkana Ketamine Clinic, PLLC is a Family Medicine Physician organization in Texarkana, TX (NPI 1528795317).
Provider details
- NPI number
- 1528795317
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- John Harris, Owner(903) 733-3722
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Transformative Wellness
Registry dates
- Enumerated
- 2022-08-02
- Last updated
- 2026-04-22
- Certified
- 2026-04-22
Frequently asked questions
- What is Texarkana Ketamine Clinic, PLLC's NPI number?
- Texarkana Ketamine Clinic, PLLC's National Provider Identifier (NPI) is 1528795317, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Texarkana Ketamine Clinic, PLLC?
- Texarkana Ketamine Clinic, PLLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Texarkana Ketamine Clinic, PLLC located?
- Texarkana Ketamine Clinic, PLLC's practice location on file with NPPES is 4110 Richmond Pl, Texarkana, TX 75503-0001.
- What is Texarkana Ketamine Clinic, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Texarkana Ketamine Clinic, PLLC is (430) 294-0284.
- Does Texarkana Ketamine Clinic, PLLC accept Medicare?
- Texarkana Ketamine Clinic, PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Texarkana Ketamine Clinic, PLLC?
- The authorized official listed on Texarkana Ketamine Clinic, PLLC's NPPES record is John Harris, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Texarkana Ketamine Clinic, PLLC's NPI active?
- Yes — Texarkana Ketamine Clinic, PLLC's NPI (1528795317) is active in the NPPES registry as of the last update on 2026-04-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.