| Organization Name: | ABBAS JAFRI MD PA |
| NPI Number: | 1023204328 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ABBAS HAIDER JAFRI (PRESIDENT) |
| Mailing Address: | 100 Medical Center Blvd Suite 110 Conroe |
| State: | TX US |
| Postal Code: | 773042888 |
| Phone Number: | 9367604435 |
| Fax Number: | 9367604439 |
| NPI Enumeration Date: | 09/20/2007 |
| NPI Last Update Date: | 09/20/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | L5387 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |