Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 534168 | TX |
NPI | 1003076167 |
---|---|
Provider Name | Dr. Salima Jaffer |
First Address | San Antonio, TX 78261-3055 |
Second Address | San Antonio, TX 78261-3055 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2008 |
Last Update Date | 20/09/2012 |