Organization
ALI JAFFAR MD PA
Active
Other names
Amarillo Cardiovascular Center
Organization subpart
No
Provider details
NPI number
Authorized official
ALI JAFFAR M.D. (PRESIDENT)
(806) 352-7200
Entity
Organization
Contact information
Practice address
3501 S SONCY RD STE 144, AMARILLO, TX 79119-6406
(806) 352-7200
(806) 352-3411
Mailing address
PO BOX 51225, AMARILLO, TX 79159-1225
(806) 352-7200
(806) 352-3411
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0085AV
BCBS
TX
05
—
178992701
—
TX
01
—
DC2124
RR PTAN
TX
Enumeration date
07/03/2006
Last updated
09/09/2014
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