Provider Demographics
NPI:1699782417
Name:JAFRI, ADNAN ZIA (MD)
Entity type:Individual
Prefix:
First Name:ADNAN
Middle Name:ZIA
Last Name:JAFRI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1015 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77375-5525
Mailing Address - Country:US
Mailing Address - Phone:281-351-2040
Mailing Address - Fax:281-351-2035
Practice Address - Street 1:1015 W MAIN ST
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-5525
Practice Address - Country:US
Practice Address - Phone:281-351-2040
Practice Address - Fax:281-351-2035
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2016-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK8229207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXH04602Medicare UPIN