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Dr. Fayyaz H Mirza, MD
Diagnostic Radiology Physician in Wichita Falls, Texas
NPI 1053489609

Fayyaz H Mirza is a Diagnostic Radiology Physician based in Wichita Falls, TX and is specialized in Diagnostic Radiology. Fayyaz H Mirza practices in Wichita Falls, TX and has the professional credentials of MD. The NPI Number for Fayyaz H Mirza is 1053489609 and holds a License No. G1118 (Texas).

The current practice location address for Fayyaz H Mirza is 808 Brook Ave, Wichita Falls, TX and can be reached out via phone at 940-766-0217 and via fax at 940-766-0730.

Location: 808 Brook Ave, Wichita Falls, TX, 76301-4209
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053489609
Provider Name
Fayyaz H Mirza
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
808 Brook Ave, Wichita Falls, TX, 76301-4209
Phone Number
940-766-0217
Fax Number
940-766-0730
Provider Enumeration Date
12/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
81R702 01 TX BLUE CROSS BLUE SHIELD
A011 01 TX HUMANA MILITARY HEALTHCAR
123812 01 TX SUPERIOR HEALTH PLAN
institution
Provider Business Practice Location Address Details
Address
808 Brook Ave
City
Wichita Falls
State
Texas
Zip
76301-4209
Phone Number
940-766-0217
Fax Number
940-766-0730
person
Provider Business Mailing Address Details
Address
808 Brook Ave
City
Wichita Falls
State
Texas
Zip
76301-4209
Phone Number
940-766-0217
Fax Number
940-766-0730
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
G1118 (Texas)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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