Provider Demographics
NPI:1902133820
Name:SYED, JAFFAR MAHMOOD (PHARMD, RPH)
Entity Type:Individual
Prefix:DR
First Name:JAFFAR
Middle Name:MAHMOOD
Last Name:SYED
Suffix:
Gender:M
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15211 PARK ROW APT 233
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-4138
Mailing Address - Country:US
Mailing Address - Phone:832-282-6326
Mailing Address - Fax:
Practice Address - Street 1:32320 STATE HIGHWAY 249
Practice Address - Street 2:
Practice Address - City:PINEHURST
Practice Address - State:TX
Practice Address - Zip Code:77362-3892
Practice Address - Country:US
Practice Address - Phone:832-934-0714
Practice Address - Fax:832-934-2095
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-13
Last Update Date:2009-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX47283183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist