Provider Demographics
NPI:1326239500
Name:BAIG, NAZIA (MD)
Entity Type:Individual
Prefix:
First Name:NAZIA
Middle Name:
Last Name:BAIG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:821 MAPLEWOOD LN
Mailing Address - Street 2:
Mailing Address - City:LUCAS
Mailing Address - State:TX
Mailing Address - Zip Code:75002-7595
Mailing Address - Country:US
Mailing Address - Phone:972-898-8552
Mailing Address - Fax:
Practice Address - Street 1:311 N ALLEN DR
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-2539
Practice Address - Country:US
Practice Address - Phone:972-666-8591
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-05
Last Update Date:2019-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN5546208000000X
TXBP10029700208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX215628301Medicaid
TX215628302Medicaid
4661832137OtherMYUTMB 4661832137
TX215628302Medicaid
TXTXB110658Medicare PIN