Provider Demographics
NPI:1972941904
Name:ALI, ASIF JAFFER (DO)
Entity type:Individual
Prefix:DR
First Name:ASIF
Middle Name:JAFFER
Last Name:ALI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12440 EMILY CT STE 701
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-4543
Mailing Address - Country:US
Mailing Address - Phone:405-476-8227
Mailing Address - Fax:
Practice Address - Street 1:12440 EMILY CT STE 701
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-4543
Practice Address - Country:US
Practice Address - Phone:406-476-8227
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-12
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR7157208VP0014X, 207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXR7157OtherTEXAS MEDICAL BOARD LICENSE