Organization
LA KHAN MDPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAEEQ A KHAN MD (OWNER)
(281) 440-9500
Entity
Organization
Contact information
Practice address
17070 RED OAK DR STE 202, HOUSTON, TX 77090-2615
(281) 440-9500
(281) 440-9503
Mailing address
17070 RED OAK DR STE 202, HOUSTON, TX 77090-2615
(281) 440-9500
(281) 440-9503
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
E7139
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121100501
—
TX
05
—
121100503
—
TX
05
—
281366902
—
TX
05
—
281366903
—
TX
Enumeration date
05/11/2015
Last updated
05/12/2015
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