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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

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