# ADVANCED FAMILY MEDICAL CARE PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508047416
- **Authorized official:** AHTARAM KHAN (OWNER)
- **Authorized official phone:** (972) 985-8000

## Contact information

- **Practice address:** 4002 W PARK BLVD, PLANO, TX 75093-3839
- **Practice address phone:** (972) 985-8000
- **Mailing address:** PO BOX 262129, PLANO, TX 75026-2129

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MDL1628 | TX | Yes |

## Other

- **Enumeration date:** 11/19/2007
- **Last updated:** 02/05/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0051HA | BLUE CROSS BLUE SHIELD | TX |
| 05 | — | 157608401 | — | TX |
| 01 | — | DB0572 | MEDICARE B - RAIL ROAD | TX |