Healthcare Provider Details

I. General information

NPI: 1760496004
Provider Name (Legal Business Name): SAIRA JAMAL M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/29/2006
Last Update Date: 01/09/2025
Certification Date: 01/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4001 LONG PRAIRIE RD STE 123
FLOWER MOUND TX
75028-1528
US

IV. Provider business mailing address

4320 WINDSOR CENTRE TRL SUITE 300
FLOWER MOUND TX
75028-1884
US

V. Phone/Fax

Practice location:
  • Phone: 469-495-9005
  • Fax:
Mailing address:
  • Phone: 972-539-1600
  • Fax: 972-539-1655

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License NumberM9375
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberM9375
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: