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Individual

MR. ALI JAFARIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
125 E GRUBB DR # 109, MESQUITE, TX 75149-3402
(469) 904-3100
(972) 685-7000
Mailing address
125 E GRUBB DR # 109, MESQUITE, TX 75149-3402
(469) 904-3100
(972) 685-7000

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J0016
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0056AZ
MEDICARE #
TX
05
128250101
TX
Enumeration date
08/04/2006
Last updated
03/05/2026
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