Individual
DR. TARIQ MIRZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
12606 GREENVILLE AVE, SUITE #104, DALLAS, TX 75243-1921
(214) 575-5757
(214) 575-5759
Mailing address
12606 GREENVILLE AVE, SUITE #104, DALLAS, TX 75243-1921
(214) 575-5757
(214) 575-5759
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
L8439
TX
Other
Enumeration date
05/03/2006
Last updated
10/15/2007
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