Individual
ISABELLA KHAVASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9041 RESEARCH BLVD STE 250, AUSTIN, TX 78758-7060
(512) 331-4626
Mailing address
6100 CHICTORA CV, AUSTIN, TX 78759-6262
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
04092
TX
Other
Enumeration date
05/25/2011
Last updated
05/25/2011
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