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General NPI Number Information
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NPI Number | 1932509627
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Entity Type | Individual
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Provider Name | TANVEER KHAN PA-C
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Gender | Male
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Dates
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Enumeration Date | 08/29/2014
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Last Update Date | 11/14/2025
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Provider Practice Location Address
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Address Line | 15200 SOUTHWEST FWY STE 285
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City | SUGAR LAND
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State | TX
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Zip | 77478-3866
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Country | US
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Telephone | 281-634-7800
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Fax | 281-634-7807
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Provider Business Mailing Address
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Address Line | 11569 S HIGHWAY 6 PMB #209
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City | SUGAR LAND
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State | TX
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Zip | 77498-4932
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Country | US
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Telephone | 281-428-8203
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA09248
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License Number State | TX
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