Healthcare Provider Details

I. General information

NPI: 1962744391
Provider Name (Legal Business Name): MUHAMMAD ZAIN MIRZA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2013
Last Update Date: 02/11/2025
Certification Date: 02/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6161 N HIGHWAY 161 STE 120
IRVING TX
75038-2220
US

IV. Provider business mailing address

3465 NATIONAL DR STE 105
PLANO TX
75025-1095
US

V. Phone/Fax

Practice location:
  • Phone: 214-894-4530
  • Fax: 214-894-4531
Mailing address:
  • Phone: 214-894-4530
  • Fax: 214-894-4531

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License NumberT4984
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberT4984
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: