Psychiatry & Neurology, Pain Medicine
ACTIVE KETAMINE, PLLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1073259156 · enumerated 2022-05-11 · record updated 2022-05-11. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: JARED HEATHMAN, Managing member · (281) 201-4511
Addresses and phones
- Mailing address 12250 QUEENSTON BLVD STE E, HOUSTON, TX, 77095-5343 Google Maps Apple Maps OpenStreetMap
- Practice location 12250 QUEENSTON BLVD STE E, HOUSTON, TX, 77095-5343 (281) 201-4511 Google Maps Apple Maps OpenStreetMap
Specialties
- Psychiatry & Neurology, Pain Medicine 2084P2900X · Primary
In this directory
TX Harris County Houston Psychiatry & Neurology, Pain Medicine
Locations and evidence
-
Practice location
HOUSTON, TX, 770955343
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.