Organization
NATHANIEL KHO MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHANIEL KHO MD (PRESIDENT)
(972) 247-5884
Entity
Organization
Contact information
Practice address
9 MEDICAL PKWY STE 107, DALLAS, TX 75234-7852
(972) 247-5884
(972) 247-5933
Mailing address
PO BOX 941408, PLANO, TX 75094-1408
(972) 247-5884
(972) 247-5933
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
—
—
2084N0400X
Neurology Physician
Primary
—
—
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
K9823
TX
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
—
—
2084P0800X
Psychiatry Physician
—
—
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16MN
BLUE CROSS BLUE SHIELD
TX
Enumeration date
11/05/2007
Last updated
02/15/2022
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