Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 23124 | TX |
NPI | 1053441006 |
---|---|
Provider Name | Dr. Asma A Khan |
First Address | San Antonio, TX 78229-3900 |
Second Address | San Antonio, TX 78229-3900 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/03/2007 |
Last Update Date | 08/01/2019 |