Individual
KHIZAR AHSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5342 E HWY 83, C1, RIO GRANDE CITY, TX 78582
(956) 488-9900
(956) 488-9910
Mailing address
PO BOX 2880, MISSION, TX 78573-0049
(956) 488-9900
(956) 488-9910
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
K5763
TX
207R00000X
Internal Medicine Physician
K5763
TX
207RG0100X
Gastroenterology Physician
Primary
K5763
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046218604
—
TX
01
—
8U0800
BCBSTX
TX
01
—
P00720897
RAILROAD MEDICARE
TX
Enumeration date
08/03/2006
Last updated
12/03/2020
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