DR MUBARAK KHAWAJA PA NPI 1760409478

NPI Information

DR MUBARAK KHAWAJA PA is a multi-specialty clinic center in Katy, TX. DR MUBARAK KHAWAJA PA NPI is 1760409478. The provider is registered as an organization entity type.

The provider's business location address is:

707 S FRY RD
SUITE# 375
KATY, TX
ZIP 77450-256
Phone: (281) 599-8070
Fax: (281) 599-8805

The provider's authorized official is Mubarak Ali Khawaja .
The authorized official title is President and has the following contact phone number (281) 599-8070.

The CLIA number assigned to this NPI record is 45D1063119 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/17/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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