Healthcare Provider Details

I. General information

NPI: 1033120936
Provider Name (Legal Business Name): SYEMA MUZAFFAR M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SYEMA MUZAFFAR MD

II. Dates (important events)

Enumeration Date: 08/10/2006
Last Update Date: 06/21/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8913 COLLINFIELD DR
AUSTIN TX
78758-6704
US

IV. Provider business mailing address

8913 COLLINFIELD DR
AUSTIN TX
78758-6704
US

V. Phone/Fax

Practice location:
  • Phone: 512-324-6850
  • Fax: 512-324-6851
Mailing address:
  • Phone: 512-324-4973
  • Fax: 512-324-4948

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberL2487
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: