Individual
SHAMYAL KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
364 RICHLAND WEST CIR STE A, WACO, TX 76712-7919
(254) 537-0911
(254) 537-0313
Mailing address
PO BOX 23189, WACO, TX 76702-3189
(254) 537-0911
(254) 537-0313
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
593771
TX
207RG0100X
Gastroenterology Physician
Primary
R7507
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R7507
LICENSE
TX
Enumeration date
05/12/2015
Last updated
05/12/2026
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