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Provider Information for 1467591065

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. FAISAL M KHAN DDS

Gender: MALE

Individual NPI: 1467591065

Calendar   Last Updated:  2019-11-19
  Certification Date: 

Details

Name Value
NPI 1467591065
Enumeration Date 2007-02-06
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 7910 W GRAND PKWY S STE 100
RICHMOND, TX 77406-5834
United States

Phone: 832-222-8687 | Fax: 832-222-8684
View Map External Link
Primary Practice Address 7910 W GRAND PKWY S STE 100
RICHMOND, TX 77406-5834
United States

Phone: 832-222-8687 | Fax: 832-222-8684
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