Individual
MICHELLE M. MIZRACHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7200 N STATE HWY 161, SUITE 220, IRVING, TX 75039
(214) 689-7806
(214) 689-5970
Mailing address
7200 N STATE HWY 161, SUITE 220, IRVING, TX 75039
(214) 689-7806
(214) 689-5970
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
N5253
TX
390200000X
Student in an Organized Health Care Education/Training Program
TRN8192
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
218195001
—
TX
Enumeration date
09/12/2007
Last updated
10/29/2012
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