Individual
ADAM KHADBAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
933 HILLTOP DR, SUITE 100, WEATHERFORD, TX 76086-8807
(817) 341-7670
Mailing address
933 HILLTOP DR STE 100, WEATHERFORD, TX 76086-8808
(817) 341-7670
(817) 341-7678
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
Q6043
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
354905702
—
TX
Enumeration date
04/24/2012
Last updated
02/25/2019
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