Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213ES0103X | Foot & Ankle Surgery | T30-2016 | TX |
Y | 213ES0131X | Foot Surgery | 2379 | TX |
NPI | 1023467586 |
---|---|
Provider Name | Zubeen Mistry |
First Address | Plano, TX 75025-5833 |
Second Address | Plano, TX 75024-2189 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2016 |
Last Update Date | 13/12/2021 |