Provider Demographics
NPI:1023467586
Name:MISTRY, ZUBEEN (DPM)
Entity type:Individual
Prefix:
First Name:ZUBEEN
Middle Name:
Last Name:MISTRY
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9720 COIT RD STE 220-224
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75025-5833
Mailing Address - Country:US
Mailing Address - Phone:469-551-8595
Mailing Address - Fax:469-242-9656
Practice Address - Street 1:4508 LEGACY DR STE 200
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-2189
Practice Address - Country:US
Practice Address - Phone:469-551-8595
Practice Address - Fax:469-242-9656
Is Sole Proprietor?:No
Enumeration Date:2016-06-06
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT30-2016213ES0103X
TX2379213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery