Provider Demographics
NPI:1760105688
Name:TEXAS TOP PEDIATRICS PA
Entity Type:Organization
Organization Name:TEXAS TOP PEDIATRICS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:OSMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KHAIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-276-9265
Mailing Address - Street 1:2612 PORTLAND AVE
Mailing Address - Street 2:
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77845-1714
Mailing Address - Country:US
Mailing Address - Phone:347-276-9265
Mailing Address - Fax:
Practice Address - Street 1:2343 NW MILITARY HWY
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78231-2502
Practice Address - Country:US
Practice Address - Phone:347-276-9265
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-26
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty