Individual
HEENA KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
504 MEDICAL CENTER BLVD, CONROE, TX 77304-2808
(901) 857-3952
Mailing address
11511 SHADOW CREEK PKWY, PEARLAND, TX 77584-7298
(713) 442-0000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R0887
TX
208M00000X
Hospitalist Physician
0101262742
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R0887
STATE LICENSE
TX
Enumeration date
04/09/2012
Last updated
10/26/2023
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