Healthcare Provider Details

I. General information

NPI: 1639309123
Provider Name (Legal Business Name): UROOJ BAKHT NADEEM JAFFER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2009
Last Update Date: 04/25/2025
Certification Date: 04/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

940 HESTERS CROSSING RD
ROUND ROCK TX
78681-8018
US

IV. Provider business mailing address

6210 E HIGHWAY 290
AUSTIN TX
78723-1142
US

V. Phone/Fax

Practice location:
  • Phone: 512-244-9024
  • Fax:
Mailing address:
  • Phone: 512-483-9596
  • Fax: 512-406-6216

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberS0908
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: