Individual
AYESHA N KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
833 TOWNE CT, SAGINAW, TX 76179-1280
(817) 306-5630
(817) 306-5631
Mailing address
833 TOWNE CT, SAGINAW, TX 76179-1280
(817) 306-5630
(817) 306-5631
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
P6656
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
325064901
—
TX
Enumeration date
07/06/2009
Last updated
10/31/2019
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