Organization
JALIL A KHAN, MD, PA
Active
Organization
JALIL A KHAN, MD, PA
Active
Other names
Pri-Med Care
Organization subpart
No
Provider details
NPI number
Authorized official
JALIL AZIZ KHAN M. D. (OWNER)
(972) 353-8616
Entity
Organization
Contact information
Practice address
502 NORTH VALLEY PARKWAY, SUITE 1, LEWISVILLE, TX 75067-3437
(972) 353-8616
(972) 353-5352
Mailing address
502 NORTH VALLEY PARKWAY, SUITE 1, LEWISVILLE, TX 75067-3437
(972) 353-8616
(972) 353-5352
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
L7013
TX
207R00000X
Internal Medicine Physician
Primary
J9128
TX
207R00000X
Internal Medicine Physician
L2732
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
066DQ
BCBS GROUP #
—
05
—
1274664-06
—
TX
05
—
1442063-14
—
TX
05
—
1451080-07
—
TX
05
—
1699985-01
—
TX
Enumeration date
10/02/2006
Last updated
03/07/2023
Update your record
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