Organization Active NPI

Crescent Comprehensive Clinic

  • Psychiatry Physician
  • Katy, TX
National Provider Identifier
1366897506
Registry record updated May 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
CRESCENT COMPREHENSIVE CLINIC
Practice address
472 Park Grove Dr
Katy, TX 77450
Phone
(713) 714-6371
Fax
(281) 476-7830
NPI assigned
Apr 25, 2016
Last updated
May 16, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Farhan M Khan, MD
Title
Owner
Phone
(713) 714-6371

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X Primary

Addresses

Primary practice location

472 Park Grove Dr
Katy, TX 77450

Mailing address

472 Park Grove Dr
Katy, TX 77450
Phone (713) 714-6371

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463356800000",
    "number": "1366897506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "472 PARK GROVE DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77450",
            "telephone_number": "713-714-6371",
            "fax_number": "281-476-7830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "472 PARK GROVE DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77450",
            "telephone_number": "713-714-6371",
            "fax_number": "281-476-7830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT COMPREHENSIVE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-25",
        "last_updated": "2016-05-16",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "FARHAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-714-6371",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.