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
207Q00000X
Family Medicine Physician
—
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
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