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General NPI Number Information
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NPI Number | 1679721310
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Entity Type | Individual
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Provider Name | KHAWAR KHURSHID M.D
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Gender | Male
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Dates
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Enumeration Date | 09/07/2008
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Last Update Date | 02/22/2023
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Provider Practice Location Address
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Address Line | 2401 S 31ST ST
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City | TEMPLE
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State | TX
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Zip | 76508-3039
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Country | US
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Telephone | 254-724-2111
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 844658
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City | DALLAS
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State | TX
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Zip | 75284-4658
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Country | US
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Telephone | 800-994-0371
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 269080
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | MD.206317
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | R4861
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License Number State | TX
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