Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | N8109 | TX |
N | 207RC0000X | Internist - Cardiovascular Disease | N8109 | TX |
NPI | 1063631265 |
---|---|
Provider Name | Ali Jafari Mehr |
First Address | San Antonio, TX 78229-3901 |
Second Address | San Antonio, TX 78229-3931 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2007 |
Last Update Date | 20/07/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
282616602 | (05) | TX |
282616603 | CSHCN (01) | TX |