Active NPI
Dr Mubarak Khawaja PA
- Multi-Specialty Clinic/Center
- Katy, TX
National Provider Identifier
1760409478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- License
- K3277
- Legal business name
- DR MUBARAK KHAWAJA PA
- Practice address
- 707 S Fry Rd
Suite# 375
Katy, TX 77450-2256 - Phone
- (281) 599-8070
- Fax
- (281) 599-8805
- NPI assigned
- Jul 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mubarak Ali Khawaja, M.D.
- Title
- President
- Phone
- (281) 599-8070
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | K3277 | TX | Primary |
Addresses
Primary practice location
707 S Fry Rd
Suite# 375
Katy, TX 77450-2256
Mailing address
707 S Fry Rd
Suite# 375
Katy, TX 77450-2256
Phone (281) 599-8070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061031000064 | TX | Part B Supplier - Clinic/Group Practice | 2961409297 |
Receives reassigned benefits from 7 practitioners Practice locations: Houston, TX |
National Provider Directory
National Provider DirectoryLocations
2222 Greenhouse Rd
Ste 400
Houston, TX 77084
Phone (281) 201-1032
707 S Fry Rd
Ste 375
Katy, TX 77450
Phone (281) 253-5491
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Katy, TX
- NPI 1609218940
-
- Family Nurse Practitioner
- Houston, TX
- NPI 1194269969
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1760409478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 S FRY RD",
"address_2": "SUITE# 375",
"city": "KATY",
"state": "TX",
"postal_code": "774502256",
"telephone_number": "281-599-8070",
"fax_number": "281-599-8805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 S FRY RD",
"address_2": "SUITE# 375",
"city": "KATY",
"state": "TX",
"postal_code": "774502256",
"telephone_number": "281-599-8070",
"fax_number": "281-599-8805"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR MUBARAK KHAWAJA PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-17",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KHAWAJA",
"authorized_official_first_name": "MUBARAK",
"authorized_official_middle_name": "ALI",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "281-599-8070",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": "TX",
"license": "K3277",
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.