Healthcare Provider Details

I. General information

NPI: 1477638302
Provider Name (Legal Business Name): SALEHA JAFAR M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/26/2006
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 STONEBROOK PKWY STE 902
FRISCO TX
75036-1179
US

IV. Provider business mailing address

6363 FIRE CREEK TRL
FRISCO TX
75036-1156
US

V. Phone/Fax

Practice location:
  • Phone: 469-888-8241
  • Fax:
Mailing address:
  • Phone: 845-566-1656
  • Fax: 845-767-5049

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number216726
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberS4318
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code207RA0401X
TaxonomyAddiction Medicine (Internal Medicine) Physician
License NumberS4318
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: