# PACIFIC DIAGNOSTICS, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386872703
- **Authorized official:** DR. SAQIB A SIDDIQUI M.D. (PRESIDENT)
- **Authorized official phone:** (281) 292-1121

## Contact information

- **Practice address:** 14450 TC JESTER, SUITE \#250, HOUSTON, TX 77014-1332
- **Practice address phone:** (713) 774-7291
- **Practice address fax:** (713) 774-5478
- **Mailing address:** P.O. BOX 132618, THE WOODLANDS, TX 77393-2618
- **Mailing address phone:** (281) 292-1121

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | L1710 | TX | — |
| 2084N0600X | Clinical Neurophysiology Physician | — | NULL | — |
| 2084N0600X | Clinical Neurophysiology Physician | — | — | — |
| 261QR0208X | Mobile Radiology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/24/2009
- **Last updated:** 05/19/2011