Organization
ADULT CHILD & ADOLESCENT PSYCHIATRIC SERVICES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD S KHAN MD (OWNER)
(972) 709-7556
Entity
Organization
Contact information
Practice address
5501 INDEPENDENCE PKWY STE 302, PLANO, TX 75023-5470
(469) 747-1010
Mailing address
P O BOX 2755, MCKINNEY, TX 75070
(469) 747-1010
(469) 747-1014
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194036459
NPI GROUP
TX
Enumeration date
07/01/2010
Last updated
01/31/2019
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