Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | LOP#1002 | TX |
N | 222Z00000X | Podiatrist | LOP#1002 | TX |
N | 224P00000X | Prosthetist | LOP#1002 | TX |
NPI | 1407824758 |
---|---|
Provider Name | Salabat Nawaz Khan |
First Address | Mcallen, TX 78501-8185 |
Second Address | Mcallen, TX 78503-2927 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/03/2006 |
Last Update Date | 08/07/2007 |