Provider Demographics
NPI:1275751943
Name:FAWZIA N. JAFFEE, M.D. P.A. DBA PLANO HEALTHCARE FOR WOMEN
Entity Type:Organization
Organization Name:FAWZIA N. JAFFEE, M.D. P.A. DBA PLANO HEALTHCARE FOR WOMEN
Other - Org Name:PLANO HEALTHCARE FOR WOMEN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:GEPHART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-781-0761
Mailing Address - Street 1:5940 W PARKER RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-7732
Mailing Address - Country:US
Mailing Address - Phone:972-781-0456
Mailing Address - Fax:972-473-2422
Practice Address - Street 1:5940 W PARKER RD
Practice Address - Street 2:SUITE 200
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-7732
Practice Address - Country:US
Practice Address - Phone:972-781-0456
Practice Address - Fax:972-473-2422
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK0841174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========OtherTAX ID