Individual
ALI JAFFAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
K1843
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110155669
RR PTAN
TX
05
—
113737404
—
TX
01
—
8P8530
BCBS
TX
Enumeration date
06/28/2006
Last updated
09/19/2014
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