| Doctor Name: | JIGNESH P MISTRY |
| NPI Number: | 1194048124 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | PA06507 |
| Business Practice Address: | 6720 Horizon Rd Heath, TX - 750326273 |
| Business Phone Number: | 4694022800 |
| Business Fax Number: | |
| Mailing Address: | 1205 S Loop 12, IRVING |
| State: | TX |
| Postal Code: | 750606317 |
| Phone Number: | 3042032914 |
| Fax Number: | |
| NPI Enumeration Date: | 03/04/2010 |
| NPI Last Update Date: | 03/04/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA06507 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |