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General NPI Number Information
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NPI Number | 1629305446
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Entity Type | Organization
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Legal Business Name | KHAN & MUJEEB URGENT CARE GROUP
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Dates
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Enumeration Date | 11/16/2009
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Last Update Date | 12/04/2009
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Provider Practice Location Address
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Address Line | 1658 WEST BAKER RD
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City | BAYTOWN
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State | TX
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Zip | 77521-2271
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Country | US
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Telephone | 281-428-0000
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Fax | 281-428-0002
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Provider Business Mailing Address
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Address Line | 17211 ROSS LAKE CT
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City | HUMBLE
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State | TX
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Zip | 77346-3675
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. KAMRAN A KHAN
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Credential | MD
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Telephone | 936-641-0434
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | L7451
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License Number State | TX
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