Individual
MICHAEL SAUL KHAZZAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1631 LANCASTER DR STE 230, GRAPEVINE, TX 76051-3586
(469) 800-7200
(469) 800-7210
Mailing address
1631 LANCASTER DR STE 230, GRAPEVINE, TX 76051-3586
(469) 800-7200
(469) 800-7210
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
N9576
TX
207X00000X
Orthopaedic Surgery Physician
T2005031078
MO
Other
Enumeration date
08/22/2006
Last updated
03/27/2025
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