Individual
AHSAN AHMED KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 702-3636
Mailing address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 702-3636
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
V4415
TX
390200000X
Student in an Organized Health Care Education/Training Program
390200000X
TX
Other
Enumeration date
03/30/2022
Last updated
03/03/2026
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