| Atique A. Khan M.d.p.a. | |
|
2026 W University Dr Denton TX 76201-0644 | |
| (817) 488-5308 | |
| (817) 488-7149 |
| Full Name | Atique A. Khan M.d.p.a. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2026 W University Dr, Denton, Texas |
| Authorized Official Name and Position | Atique A Khan (OWNER) |
| Authorized Official Contact | 8174885308 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atique A. Khan M.d.p.a. 1023 Summerplace Ln Southlake TX 76092-5121 Ph: (817) 488-5308 | Atique A. Khan M.d.p.a. 2026 W University Dr Denton TX 76201-0644 Ph: (817) 488-5308 |
| NPI Number | 1861835787 |
|---|---|
| Provider Enumeration Date | 04/10/2013 |
| Last Update Date | 06/04/2013 |
| Medicare PECOS PAC ID | 8325285505 |
|---|---|
| Medicare Enrollment ID | O20130507000330 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861835787 | NPI | - | NPPES |
| 114789402 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | H7768 (Texas) | Primary |
| Provider Name | Atique A Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316044530 PECOS PAC ID: 6305867714 Enrollment ID: I20051213000788 |
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