Organization
KHIZAR AHSAN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHIZAR AHSAN M.D. (PRESIDENT)
(956) 627-3408
Entity
Organization
Contact information
Practice address
252 LINDBERG AVE, MCALLEN, TX 78501-2920
(956) 627-3408
(956) 627-3453
Mailing address
PO BOX 2880, MISSION, TX 78573-0049
(956) 627-3408
(956) 627-3453
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
P1374
TX
207RG0100X
Gastroenterology Physician
Primary
K5763
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0063MW
BCBSTX PROVIDER NUMBER
TX
05
—
174631501
—
TX
Enumeration date
01/29/2007
Last updated
12/03/2020
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