Individual
GHOLAM A KIANI KHOZANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5121 N JACKSON RD STE 10, MCALLEN, TX 78504-6758
(956) 803-0401
(956) 322-5739
Mailing address
PO BOX 720206, MCALLEN, TX 78504-0206
(956) 803-0401
(956) 322-5739
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
K6870
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00138HAB8K
PTAN
TX
05
—
148513802
—
TX
05
—
148513805
—
TX
01
—
45D1006440
CLIA
TX
01
—
45D2237106
CLIA
TX
Enumeration date
08/22/2006
Last updated
04/07/2026
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