Organization Active NPI

Zohra R Khan

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Euless, TX
National Provider Identifier
1629222161
Registry record updated Feb 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
H0074 Issued in TX
Legal business name
ZOHRA R KHAN
Practice address
2275 Westpark CT Ste 102
Euless, TX 76040-3746
Phone
(817) 545-2771
Fax
(817) 545-2772
NPI assigned
Nov 11, 2008
Last updated
Feb 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2010

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

Authorized official

Name
Dr. Zohra Rashid Khan, MD PANPI 1588672422
Title
Provider
Phone
(817) 545-2771

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X H0074 TX Primary

Addresses

Primary practice location

2275 Westpark CT Ste 102
Euless, TX 76040-3746

Mailing address

2275 Westpark CT Ste 102
Euless, TX 76040-3746
Phone (817) 545-2771

Other identifiers 1

IdentifierTypeStateIssuer
114421402MedicaidTX

National Provider Directory

National Provider Directory

Locations

2275 Westpark Ct
Ste 102
Euless, TX 76040
Phone (817) 545-2771

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266192000000",
    "number": "1629222161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 WESTPARK CT STE 102",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760403746",
            "telephone_number": "817-545-2771",
            "fax_number": "817-545-2772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2275 WESTPARK CT STE 102",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760403746",
            "telephone_number": "817-545-2771",
            "fax_number": "817-545-2772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZOHRA R KHAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-11",
        "last_updated": "2010-02-15",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "ZOHRA",
        "authorized_official_middle_name": "RASHID",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "817-545-2771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD  PA"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "TX",
            "license": "H0074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114421402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Euless, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2010; 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.