Organization
ATIQUE A. KHAN M.D.P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ATIQUE A KHAN (OWNER)
(817) 488-5308
Entity
Organization
Contact information
Practice address
2026 W UNIVERSITY DR, DENTON, TX 76201-0644
(817) 488-5308
(817) 488-7149
Mailing address
1023 SUMMERPLACE LN, SOUTHLAKE, TX 76092-5121
(817) 488-5308
(817) 488-7149
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
H7768
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114789402
—
TX
Enumeration date
04/10/2013
Last updated
06/04/2013
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