Healthcare Provider Details

I. General information

NPI: 1023570876
Provider Name (Legal Business Name): MUZAMIL AHMED KHAWAJA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/02/2019
Last Update Date: 11/12/2025
Certification Date: 11/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26424 STRAKE DR
SPRING TX
77389-1916
US

IV. Provider business mailing address

10710 FLAMINGO FEATHER CT
CYPRESS TX
77433-8624
US

V. Phone/Fax

Practice location:
  • Phone: 936-270-5500
  • Fax: 936-270-5505
Mailing address:
  • Phone: 601-613-6632
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberS9328
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: