Kassim a Khan MD PA

NPI #1710168729 in Fort Worth, Texas

Provider Information

NPI Number: 1710168729
Entity Type: Organization
Organization Name: Kassim a Khan MD PA
Primary Specialty: Ophthalmology
Enumeration Date: Nov 19, 2007
Last Updated: Oct 13, 2009

Practice Location

Address: 1001 12TH AVE
Address 2: SUITE 132
City: Fort Worth
State: Texas
ZIP Code: 76104-3926
Phone: (817) 870-2010

Authorized Official

Name: DR. KASSIM A KHAN, M.D.
Title: PHYSICIAN
Phone: (817) 870-2010

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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