Individual
ASIF KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 COOPER ST, FORT WORTH, TX 76104-2710
(682) 885-7264
(682) 885-7497
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-6483
(682) 885-3113
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
278748
MA
207LP3000X
Pediatric Anesthesiology Physician
278748
MA
207LP3000X
Pediatric Anesthesiology Physician
Primary
U9007
TX
Other
Enumeration date
04/15/2015
Last updated
08/07/2024
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