Provider Demographics
NPI:1023204328
Name:ABBAS JAFRI MD PA
Entity Type:Organization
Organization Name:ABBAS JAFRI MD PA
Other - Org Name:PRIMARY CARE SPECIALISTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ABBAS
Authorized Official - Middle Name:HAIDER
Authorized Official - Last Name:JAFRI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-528-4100
Mailing Address - Street 1:415 WOODLINE DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386-1977
Mailing Address - Country:US
Mailing Address - Phone:281-528-4100
Mailing Address - Fax:281-528-4099
Practice Address - Street 1:415 WOODLINE DR
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77386-1977
Practice Address - Country:US
Practice Address - Phone:281-528-4100
Practice Address - Fax:281-528-4099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-20
Last Update Date:2020-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL5387261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
H77560Medicare UPIN