Basic Information
| Provider Information | |||||||||
| NPI: | 1912272840 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MIRZA | ||||||||
| FirstName: | UMARFAROOK | ||||||||
| MiddleName: | JAVED | ||||||||
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| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7900 CHURCHILL WAY APT 10108 | ||||||||
| Address2: | |||||||||
| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 752512050 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3472051730 | ||||||||
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| Practice Location | |||||||||
| Address1: | 5252 W UNIVERSITY DR | ||||||||
| Address2: | |||||||||
| City: | MCKINNEY | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750717822 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2147122074 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/10/2012 | ||||||||
| LastUpdateDate: | 05/16/2013 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | P2735 | TX | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.