Healthcare Provider Details

I. General information

NPI: 1952143547
Provider Name (Legal Business Name): ANAM JAFFAR AZHAR M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2024
Last Update Date: 12/17/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8200 WALNUT HILL LN TEXAS HEALTH PRESBYTERIAN HOSPITAL
DALLAS TX
75231
US

IV. Provider business mailing address

8200 WALNUT HILL LN TEXAS HEALTH PRESBYTERIAN HOSPITAL
DALLAS TX
75231
US

V. Phone/Fax

Practice location:
  • Phone: 214-345-6789
  • Fax: 214-345-8602
Mailing address:
  • Phone: 214-345-6789
  • Fax: 214-345-8602

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: