Individual
DR. GREGORY JOHN JAFFERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 S 31ST STREET, SCOTT AND WHITE HOSPITAL, TEMPLE, TX 76508
(254) 724-9462
(254) 724-5832
Mailing address
2401 S 31ST STREET, SCOTT AND WHITE HOSPITAL, TEMPLE, TX 76508
(254) 724-9462
(254) 724-5832
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
F6783
TX
208600000X
Surgery Physician
F6783
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020047407
RR/MEDICARE
TX
01
—
1227464-02
CSHCN
TX
05
—
1227464-03
—
TX
01
—
83X693
BLUE SHIELD
TX
Enumeration date
03/23/2006
Last updated
03/03/2010
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