MEDICARE: NAZIA BAIG MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	N5546	TX
2	208000000X	Pediatrics Physician	BP10029700	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	4661832137	OTHER	MYUTMB 4661832137

General Provider Information

NPI Number	:	1326239500
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAZIA BAIG MD

Provider Business Mailing Address
First Line	:	821 MAPLEWOOD LN
Second Line	:
City	:	LUCAS
State	:	TX
Zip	:	75002-7595
Country	:	US
Telephone Number	:	972-898-8552
Fax Number	:

Provider Business Practice Location Address
First Line	:	311 N ALLEN DR
Second Line	:
City	:	ALLEN
State	:	TX
Zip	:	75013-2539
Country	:	US
Telephone Number	:	972-666-8591
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/05/2007
Last Update Date	:	05/13/2019

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Directions to “ NAZIA BAIG MD” Practice Location

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