Provider Demographics
NPI:1124708185
Name:KHAN, SARA (NP)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:KHAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5300 TOWN AND COUNTRY BLVD STE 240
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-1008
Mailing Address - Country:US
Mailing Address - Phone:469-833-3360
Mailing Address - Fax:469-252-5770
Practice Address - Street 1:5300 TOWN AND COUNTRY BLVD STE 240
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-1008
Practice Address - Country:US
Practice Address - Phone:469-833-3360
Practice Address - Fax:469-252-5770
Is Sole Proprietor?:No
Enumeration Date:2023-07-24
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN250632363LF0000X
TX1165891363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily