Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | P 7130 | TX |
NPI | 1073629986 |
---|---|
Provider Name | Raza A Jafry |
First Address | Dallas, TX 75373-2973 |
Second Address | Fort Worth, TX 76104-4909 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/08/2006 |
Last Update Date | 08/11/2018 |