Organization
FAZILA SIDDIQI MD . PA
Active
Organization
FAZILA SIDDIQI MD . PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FAZILA SIDDIQI MD (PRESIDENT)
(214) 491-1618
Entity
Organization
Contact information
Practice address
2300 W. WHITE AVE., SUITE # 101, MCKINNEY, TX 75071
(214) 491-1618
(214) 491-6155
Mailing address
2300 W. WHITE AVE., SUITE # 101, MCKINNEY, TX 75071
(214) 491-1618
(214) 491-6155
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
K3467
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0304347-01
—
TX
Enumeration date
01/12/2012
Last updated
05/12/2016
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