Organization
A. MOHAMMAD KHAN, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AFZAL MOHAMMAD KHAN M.D. (MEDICAL DIRECTOR)
(979) 417-8022
Entity
Organization
Contact information
Practice address
100 MEDICAL DR, LAKE JACKSON, TX 77566-5674
(979) 476-0795
Mailing address
100 MEDICAL DR, LAKE JACKSON, TX 77566-5674
(979) 476-0795
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
208M00000X
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1834301
—
TX
Enumeration date
11/05/2013
Last updated
11/05/2013
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