Individual
BUSHRA KHALIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13737 NOEL ROAD, STE 1400, DALLAS, TX 75240-2004
(972) 715-5000
(972) 715-9976
Mailing address
11511 SHADOW CREEK PKWY, PEARLAND, TX 77584-7298
(713) 442-0000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
P2472
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
312013101
—
TX
01
—
8DN623
BCBS
TX
Enumeration date
10/11/2012
Last updated
11/14/2023
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