MEDICARE: CLARIUS MEDICAL GROUP PLLC

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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1982328985
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLARIUS MEDICAL GROUP PLLC

Provider Business Mailing Address
First Line	:	145 PROMENADE WAY
Second Line	:	4
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-7225
Country	:	US
Telephone Number	:	281-491-3225
Fax Number	:	800-559-8401

Provider Business Practice Location Address
First Line	:	145 PROMENADE WAY
Second Line	:	4
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-7225
Country	:	US
Telephone Number	:	281-491-3225
Fax Number	:	800-559-8401

Authorized Official
Title or Position	:	AUTHORIZED OWNER
Name	:	AMAN A JAFAR
Credential	:
Telephone Number	:	281-491-3225

Provider Enumeration Date	:	10/03/2022
Last Update Date	:	09/27/2023

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