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Dr. Muhammad A Mirza
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NPI Number Detailed Information
Provider Information:
Name: | Dr. Muhammad A Mirza |
Gender: | M |
Provider License Number If Given: | J0404 |
NPI Information:
NPI: | 1548269822 |
Entity Type (Individual or Organization): |
1-ind |
Enumeration Date: | 7/19/2005 |
Last Update Date: | 2/15/2008 |
Provider Business Mailing Address:
Address: | 4300 N JOSEY LN SUITE 110 Carrollton, TX 75010 |
Phone Number: | 2144823292 |
Fax Number: | 2144833286 |
Provider Business Practice Location Address:
Address: | 4300 N.JOSEY LN. SUITE 110 Carrollton, TX 75010 |
Phone Number: | 2144823292 |
Fax Number: | 2144833286 |
Provider Taxonomy:
Primary: | 208000000X |
Secondary (if any): | |
State: | TX |