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Individual

TARIQ ALI KHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1308 PALUXY RD STE 300, GRANBURY, TX 76048-5689
(817) 579-3978
(817) 579-3977
Mailing address
1308 PALUXY RD STE 300, GRANBURY, TX 76048-5689
(817) 579-3978
(817) 579-3977

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
K4929
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
132145001
AR
05
3815396
TN
Enumeration date
08/05/2006
Last updated
10/01/2025
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