Individual
JAFFER M ODEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
(214) 648-7833
Mailing address
P.O. BOX 845347, DALLAS, TX 75284
(214) 648-7833
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35.097394
OH
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
P3945
TX
Other
Enumeration date
04/18/2008
Last updated
10/10/2012
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