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General NPI Number Information
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NPI Number | 1134863822
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Entity Type | Organization
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Legal Business Name | SAN ANTONIO KETAMINE SPECIALISTS PLLC
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Dates
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Enumeration Date | 04/27/2022
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 1919 OAKWELL FARMS PKWY SUITE 110
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City | SAN ANTONIO
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State | TX
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Zip | 78218
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Country | US
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Telephone | 210-960-6998
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Fax | 210-960-6998
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Provider Business Mailing Address
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Address Line | 1919 OAKWELL FARMS PKWY SUITE 110
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City | SAN ANTONIO
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State | TX
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Zip | 78218
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Country | US
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Telephone | 210-960-6998
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Fax | 210-960-6998
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. OSCAR MARTINEZ
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Credential | MD
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Telephone | 214-298-1809
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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