Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Tariq Mirza, MD

Individual provider Pediatric Adolescent Medicine Physician · NPI 1457319089

Dr. Tariq Mirza, MD is a Pediatric Adolescent Medicine Physician in Dallas, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

12606 Greenville Ave Ste #104
Dallas, TX 75243-1921
Phone: (214) 575-5757
Fax: (214) 575-5759
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Adolescent Medicine Physician (primary) Taxonomy 2080A0000X · Licence L8439 (TX)

Record details

NPI number1457319089
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 3, 2006
Last updated in NPPESOctober 15, 2007

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