| Drs. Khatib & Khatib, Dds, Pc | |
|
3513 Mccart Ave Suite A Fort Worth TX 76110-4600 | |
| (817) 921-4646 | |
| (817) 921-4546 |
| Full Name | Drs. Khatib & Khatib, Dds, Pc |
|---|---|
| Speciality | Dentist |
| Location | 3513 Mccart Ave, Fort Worth, Texas |
| Authorized Official Name and Position | Sania F Khatib (DENTIST) |
| Authorized Official Contact | 8179214646 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Drs. Khatib & Khatib, Dds, Pc 3513 Mccart Ave Suite A Fort Worth TX 76110-4600 Ph: (817) 921-4646 | Drs. Khatib & Khatib, Dds, Pc 3513 Mccart Ave Suite A Fort Worth TX 76110-4600 Ph: (817) 921-4646 |
| NPI Number | 1689062960 |
|---|---|
| Provider Enumeration Date | 01/08/2015 |
| Last Update Date | 01/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689062960 | NPI | - | NPPES |
| 194372201 | Medicaid | TX | |
| 167065501 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 21722 (Texas) | Secondary |
| 122300000X | Dentist | 23286 (Texas) | Primary |
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