Individual
FAROOQ MIRZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
333 N SANTA ROSA AVE, CHRISTUS SANTA ROSA CHILDRENS HOSPITAL, SAN ANTONIO, TX 78207-3108
(210) 704-2011
Mailing address
110 PAINTED POST LN, SHAVANO PARK, TX 78231-1414
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
F5657
TX
Other
Enumeration date
08/31/2006
Last updated
07/23/2014
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