Organization
TEXAS NEONATOLOGY ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASIF Z KHATTAK MD (OWNER/PROVIDER)
(903) 408-5178
Entity
Organization
Contact information
Practice address
4215 JOE RAMSEY BLVD E, GREENVILLE, TX 75401-7852
(903) 408-5178
(903) 408-5166
Mailing address
1 LOCHLEVEN, RICHARDSON, TX 75082-2671
(903) 408-5178
(903) 408-5166
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
L6464
TX
Other
Enumeration date
11/28/2012
Last updated
08/06/2013
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