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Organization
MIRZA BAIG MD PLLC
Active
Organization
MIRZA BAIG MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRZA S BAIG MD (MD, PRESIDENT)
(972) 792-5700
Entity
Organization
Contact information
Practice address
9101 LBJ FREEWAY, STE 710, DALLAS, TX 75243-1912
(972) 792-5700
(214) 349-7707
Mailing address
9101 LBJ FREEWAY, STE 710, DALLAS, TX 75243-1912
(972) 792-5700
(214) 349-7707
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
Primary
—
NULL
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023275526
NPI
TX
01
—
P1961
TEXAS MEDICAL LICENSE
TX
Enumeration date
07/18/2014
Last updated
07/18/2014
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