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General NPI Number Information
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NPI Number | 1679777452
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Entity Type | Individual
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Provider Name | ABRAHAM K. KHALIL MD
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Gender | Male
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Dates
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Enumeration Date | 06/13/2007
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Last Update Date | 04/23/2018
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Provider Practice Location Address
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Address Line | 634 MANCHESTER TRAIL DR
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City | SPRING
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State | TX
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Zip | 77373-8293
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Country | US
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Telephone | 832-212-2848
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Fax |
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Provider Business Mailing Address
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Address Line | 634 MANCHESTER TRAIL DR
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City | SPRING
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State | TX
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Zip | 77373-8293
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Country | US
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Telephone | 832-212-2848
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | N5768
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | N5768
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License Number State | TX
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