Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miss. Khanhly T DO, PA-C

Individual provider Medical Physician Assistant · NPI 1730420894

Miss. Khanhly T DO, PA-C is a Physician Assistant in Houston, Texas. Qualified in 2012, 14 years ago. Practices with UT Physicians, a 203-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
14
Licensed in
TX
In the registry since
2013
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1631 N Loop W Ste 245
Houston, TX 77008
Phone: (713) 486-8150
Fax: (713) 486-8155
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA08349 (TX)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA08349 (TX)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA08349 (TX)

Record details

NPI number1730420894
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 13, 2013
Last updated in NPPESJanuary 23, 2020
Certification dateJanuary 23, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Ut Physicians — 203 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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