Healthcare Provider Details

I. General information

NPI: 1235033325
Provider Name (Legal Business Name): BRIAN KHO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 VETERANS MEMORIAL DR
TEMPLE TX
76504-7445
US

IV. Provider business mailing address

529 PETE CIR
LIBERTY HILL TX
78642-2552
US

V. Phone/Fax

Practice location:
  • Phone: 254-778-8411
  • Fax:
Mailing address:
  • Phone: 512-979-3937
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number123096
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: