# MIRZA BAIG MD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811304173
- **Authorized official:** MIRZA S BAIG MD (MD, PRESIDENT)
- **Authorized official phone:** (972) 792-5700

## Contact information

- **Practice address:** 9101 LBJ FREEWAY, STE 710, DALLAS, TX 75243-1912
- **Practice address phone:** (972) 792-5700
- **Practice address fax:** (214) 349-7707
- **Mailing address:** 9101 LBJ FREEWAY, STE 710, DALLAS, TX 75243-1912
- **Mailing address phone:** (972) 792-5700
- **Mailing address fax:** (214) 349-7707

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/18/2014
- **Last updated:** 07/18/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1023275526 | NPI | TX |
| 01 | — | P1961 | TEXAS MEDICAL LICENSE | TX |