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NPI Code Detail

MEDICARE: MIRZA BAIG MD PLLC

MEDICARE: MIRZA BAIG MD PLLC
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
1208600000XSurgery Physician
22086S0129XVascular Surgery Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11023275526OTHERTXNPI
2P1961OTHERTXTEXAS MEDICAL LICENSE

General Provider Information

NPI Number : 1811304173
Entity Type Code : Organization
Provider Name (Legal Business Name) : MIRZA BAIG MD PLLC
Provider Business Mailing Address
First Line : 9101 LBJ FREEWAY
Second Line : STE 710
City : DALLAS
State : TX
Zip : 75243-1912
Country : US
Telephone Number : 972-792-5700
Fax Number : 214-349-7707
Provider Business Practice Location Address
First Line : 9101 LBJ FREEWAY
Second Line : STE 710
City : DALLAS
State : TX
Zip : 75243-1912
Country : US
Telephone Number : 972-792-5700
Fax Number : 214-349-7707
Authorized Official
Title or Position : MD, PRESIDENT
Name : MIRZA S BAIG
Credential : MD
Telephone Number : 972-792-5700
Provider Enumeration Date : 07/18/2014
Last Update Date : 07/18/2014

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Directions to “MIRZA BAIG MD PLLC ” Practice Location

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