NPI Code Details Logo

NPI 1316189772

NPI 1316189772 : FAISAL ABDULAH KHASAWNEH M.D. : AMARILLO, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1316189772
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    FAISAL ABDULAH KHASAWNEH M.D.
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/01/2009
-----------------------------------------------------
    Last Update Date     |    10/23/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1400 S COULTER ST 
-----------------------------------------------------
    City                 |    AMARILLO
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    79106-1786
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    806-414-9100
-----------------------------------------------------
    Fax                  |    806-354-5717
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1400 WALLACE BLVD 
-----------------------------------------------------
    City                 |    AMARILLO
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    79106-1708
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    806-414-9100
-----------------------------------------------------
    Fax                  |    806-354-5717
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207RI0200X
-----------------------------------------------------
    Taxonomy Name        |    Infectious Disease Physician
-----------------------------------------------------
    License Number       |    036-137287
-----------------------------------------------------
    License Number State |    IL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    207RC0200X
-----------------------------------------------------
    Taxonomy Name        |    Critical Care Medicine (Internal Medicine) Physician
-----------------------------------------------------
    License Number       |    N0885
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    207RI0200X
-----------------------------------------------------
    Taxonomy Name        |    Infectious Disease Physician
-----------------------------------------------------
    License Number       |    N0885
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    207R00000X
-----------------------------------------------------
    Taxonomy Name        |    Internal Medicine Physician
-----------------------------------------------------
    License Number       |    N0885
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    207RC0200X
-----------------------------------------------------
    Taxonomy Name        |    Critical Care Medicine (Internal Medicine) Physician
-----------------------------------------------------
    License Number       |    036-137287
-----------------------------------------------------
    License Number State |    IL
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.