Individual
MS. ISMAT NASREEN KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1631 E 2ND ST STE B, AUSTIN, TX 78702-4491
(512) 804-3350
(512) 804-3672
Mailing address
PO BOX 3548, AUSTIN, TX 78764-3548
(512) 445-7787
(512) 440-4059
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA02762
TX
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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