| Nathaniel Kho Md Pa | |
|
9 Medical Pkwy Ste 107 Dallas TX 75234-7852 | |
| (972) 247-5884 | |
| (972) 247-5933 |
| Full Name | Nathaniel Kho Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 9 Medical Pkwy Ste 107, Dallas, Texas |
| Authorized Official Name and Position | Nathaniel Kho (PRESIDENT) |
| Authorized Official Contact | 9722475884 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nathaniel Kho Md Pa Po Box 941408 Plano TX 75094-1408 Ph: (972) 247-5884 | Nathaniel Kho Md Pa 9 Medical Pkwy Ste 107 Dallas TX 75234-7852 Ph: (972) 247-5884 |
| NPI Number | 1780864058 |
|---|---|
| Provider Enumeration Date | 11/05/2007 |
| Last Update Date | 02/15/2022 |
| Certification Date | 02/15/2022 |
| Medicare PECOS PAC ID | 3173576121 |
|---|---|
| Medicare Enrollment ID | O20050302000169 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780864058 | NPI | - | NPPES |
| 16MN | Other | TX | BLUE CROSS BLUE SHIELD |
| Provider Name | Nathaniel A Kho |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689757189 PECOS PAC ID: 3072566025 Enrollment ID: I20050302000190 |
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