# TEXAS NEONATOLOGY ASSOCIATES LLC

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

## Provider details

- **NPI number:** 1790020071
- **Authorized official:** ASIF Z KHATTAK MD (OWNER/PROVIDER)
- **Authorized official phone:** (903) 408-5178

## Contact information

- **Practice address:** 4215 JOE RAMSEY BLVD E, GREENVILLE, TX 75401-7852
- **Practice address phone:** (903) 408-5178
- **Practice address fax:** (903) 408-5166
- **Mailing address:** 1 LOCHLEVEN, RICHARDSON, TX 75082-2671
- **Mailing address phone:** (903) 408-5178
- **Mailing address fax:** (903) 408-5166

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | L6464 | TX | Yes |

## Other

- **Enumeration date:** 11/28/2012
- **Last updated:** 08/06/2013