Organization
SOUTHLAKE TROPHY CLUB RADIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARAH KHAN M.D. (RADIOLOGIST)
(817) 908-7810
Entity
Organization
Contact information
Practice address
2800 SOUTH HIGHWAY 114, TROPHY CLUB, TX 76726
(817) 908-7810
(206) 337-0544
Mailing address
2155 N PEARSON LN, WESTLAKE, TX 76262-9016
(817) 908-7810
(206) 337-0544
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
L1091
TX
Other
Enumeration date
06/08/2006
Last updated
11/01/2011
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