Individual
NASIRA HUSSAIN KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4819 RIVER OAKS BLVD, FORT WORTH, TX 76114-3098
(817) 626-9744
(817) 626-9962
Mailing address
10409 LAKE BEND TRL, HURST, TX 76053-7822
(682) 472-4678
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA07883
TX
Other
Enumeration date
12/04/2012
Last updated
10/23/2013
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