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Organization
SHABANA KHAN OD PA
Active
Organization
SHABANA KHAN OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHABANA Q KHAN OD (DOCTOR OF OPTOMETRY)
(972) 540-2020
Entity
Organization
Contact information
Practice address
1721 N CUSTER RD, MCKINNEY, TX 75071-3274
(972) 540-2020
(972) 540-2010
Mailing address
1721 N CUSTER RD, MCKINNEY, TX 75071-3274
(972) 540-2020
(972) 540-2010
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6442TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6442TG
TEXAS OPTOMETRY LICENSE
TX
Enumeration date
10/09/2011
Last updated
01/14/2021
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