Medical Care at Home PA DBA Khan Medical Clinic
NPI #1154839652 in Willow Park, Texas
Provider Information
- NPI Number
- 1154839652
- Entity Type
- Organization
- Organization Name
- Medical Care at Home PA DBA Khan Medical Clinic
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Jan 18, 2018
- Last Updated
- Jan 16, 2024
Practice Location
- Address
- 5077 E INTERSTATE 20 SERVICE RD N
- City
- Willow Park
- State
- Texas
- ZIP Code
- 76087-3219
- Phone
- (817) 374-4949
Authorized Official
- Name
- NUSRAT ALI KHAN, MD
- Title
- MEDICAL DIRECTOR
- Phone
- (817) 597-5632
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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