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Provider Information for 1467591065



DR. FAISAL M KHAN DDS

Gender: MALE

Individual NPI: 1467591065

Calendar Last Updated: 2015-04-02

Details

Name Value
NPI 1467591065
Enumeration Date 2007-02-06
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 7830 W GRAND PKWY S STE 270
RICHMOND, TX 77406-5816
United States

Phone: 832-222-8687 | Fax:
View Map External Link
Primary Practice Address 7830 W GRAND PKWY S SUITE 270
RICHMOND, TX 77406-5816
United States

Phone: 832-222-8687 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
MEDICAID TX 202975308
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223P0221X - Dentist Pediatric Dentistry TX 24446
No 1223G0001X - Dentist General Practice NY 052957