Organization
SAMAIRA KHAN DO, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMAIRA KHAN DO (PHYSICIAN)
(917) 628-6617
Entity
Organization
Contact information
Practice address
2000 SCENIC DR, GEORGETOWN, TX 78626-7726
(917) 628-6617
Mailing address
PO BOX 5703, ROUND ROCK, TX 78683-5703
(512) 308-3969
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
01/02/2019
Last updated
07/17/2019
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