Mirza, Fayyaz H

Mirza, Fayyaz H is an individual health care provider with primary practice located at 808 Brook Ave , Wichita Falls TX 76301-4209. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Mirza, Fayyaz H can be contacted via phone (940) 766-0217.

Contact Information

Primary practice address
808 Brook Ave Wichita Falls TX 76301-4209
Phone: (940) 766-0217
Fax: (940) 766-0730
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X G1118 Texas

Profile Details

NPI number 1053489609
LBN Legal business name Mirza, Fayyaz H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2006
Last updated Dec 7th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053489609 NPPES
Texas Other 81R702 BLUE CROSS BLUE SHIELD
Texas Other A011 BLUE CROSS BLUE SHIELD
Texas Other 123812 BLUE CROSS BLUE SHIELD

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