MEDICARE: ABBAS JAFRI MD PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center	L5387	TX

General Provider Information

NPI Number	:	1023204328
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABBAS JAFRI MD PA

Provider Business Mailing Address
First Line	:	415 WOODLINE DR
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77386-1977
Country	:	US
Telephone Number	:	281-528-4100
Fax Number	:	281-528-4099

Provider Business Practice Location Address
First Line	:	415 WOODLINE DR
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77386-1977
Country	:	US
Telephone Number	:	281-528-4100
Fax Number	:	281-528-4099

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ABBAS HAIDER JAFRI
Credential	:	M.D.
Telephone Number	:	281-528-4100

Provider Enumeration Date	:	09/20/2007
Last Update Date	:	11/09/2020

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