Texas Neonatology Associates LLC

Primary specialty

Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X

License

L6464 Issued in TX

Legal business name

TEXAS NEONATOLOGY ASSOCIATES LLC

Practice address

4215 Joe Ramsey Blvd E
Greenville, TX 75401-7852

Phone

(903) 408-5178

Fax

(903) 408-5166

NPI assigned

Nov 28, 2012

Organization subpart

No

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

Authorized official

Name

Asif Z Khattak, MDNPI 1003878281

Title

Owner/Provider

Phone

(903) 408-5178

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Asif Zia Khattak, MD

  • Neonatal-Perinatal Medicine Physician
  • Dallas, TX
  • NPI 1003878281
  NPD (past) Authorized official

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

{
    "created_epoch": "1354060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375747200000",
    "number": "1790020071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LOCHLEVEN",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750822671",
            "telephone_number": "903-408-5178",
            "fax_number": "903-408-5166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 JOE RAMSEY BLVD E",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754017852",
            "telephone_number": "903-408-5178",
            "fax_number": "903-408-5166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS NEONATOLOGY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-28",
        "last_updated": "2013-08-06",
        "status": "A",
        "authorized_official_last_name": "KHATTAK",
        "authorized_official_first_name": "ASIF",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "903-408-5178",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "TX",
            "license": "L6464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirbie Stratton Terry, PA
• Vicki Terry, RN, PMHNP
• Texas Em-I Medical Services, P.a.
• Texas Em-I Medical Services, PA
• Texas Gastrointestinal Associates
• Texas Optical Center, P.a.
• Sheila Kay Thacker, ABOC
• The Baby Place, Birthing Center
• The Crack Shack Chiropractic LLC
• The Pediatric Clinic

• Neonatal-Perinatal Medicine Physician in Greenville, TX
• Providers in Greenville, TX by specialty
• Neonatal-Perinatal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; 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.