Healthcare Provider Details

I. General information

NPI: 1003076167
Provider Name (Legal Business Name): SALIMA JAFFER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2008
Last Update Date: 09/20/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22800 BULVERDE RD APT 2202
SAN ANTONIO TX
78261-3055
US

IV. Provider business mailing address

22800 BULVERDE RD APT 2202
SAN ANTONIO TX
78261-3055
US

V. Phone/Fax

Practice location:
  • Phone: 210-878-4033
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number534168
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: