| Shabaz Khan, Pllc | |
|
1650 W College St Grapevine TX 76051-3565 | |
| (817) 481-1588 | |
| Not Available |
| Full Name | Shabaz Khan, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1650 W College St, Grapevine, Texas |
| Authorized Official Name and Position | Shabaz Ali Khan (PRESIDENT) |
| Authorized Official Contact | 8174811588 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shabaz Khan, Pllc 503 Indian Paintbrush Way Southlake TX 76092-6922 Ph: (817) 773-7676 | Shabaz Khan, Pllc 1650 W College St Grapevine TX 76051-3565 Ph: (817) 481-1588 |
| NPI Number | 1710377791 |
|---|---|
| Provider Enumeration Date | 01/29/2015 |
| Last Update Date | 01/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710377791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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