Provider Demographics
NPI:1881886992
Name:NORTHPOINT PEDIATRIC CARE P.A.
Entity type:Organization
Organization Name:NORTHPOINT PEDIATRIC CARE P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:TARIQ
Authorized Official - Middle Name:
Authorized Official - Last Name:MIRZA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:845-699-1798
Mailing Address - Street 1:12606 GREENVILLE AVE
Mailing Address - Street 2:SUITE # 104
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-1921
Mailing Address - Country:US
Mailing Address - Phone:214-575-5757
Mailing Address - Fax:214-575-5759
Practice Address - Street 1:12606 GREENVILLE AVE
Practice Address - Street 2:SUITE # 104
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-1921
Practice Address - Country:US
Practice Address - Phone:214-575-5757
Practice Address - Fax:214-575-5759
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-13
Last Update Date:2007-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty