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Organization
MEDICAL CARE AT HOME PA DBA KHAN MEDICAL CLINIC
Active
Organization
MEDICAL CARE AT HOME PA DBA KHAN MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NUSRAT ALI KHAN MD (MEDICAL DIRECTOR)
(817) 597-5632
Entity
Organization
Contact information
Practice address
5077 E INTERSTATE 20 SERVICE RD N, WILLOW PARK, TX 76087-3219
(817) 374-4949
(817) 596-3700
Mailing address
PO BOX 1313, WEATHERFORD, TX 76086-1313
(817) 374-4949
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/18/2018
Last updated
01/16/2024
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