Organization
MOHAMMAD SIDDIQUI, M.D.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD S SIDDIQUI MD (PRESIDENT)
(832) 623-2750
Entity
Organization
Contact information
Practice address
10 MEDICAL CENTER BLVD, SUITE B, LUFKIN, TX 75904-3173
(832) 623-2750
Mailing address
10 MEDICAL CENTER BLVD, SUITE B, LUFKIN, TX 75904-3173
(832) 623-2750
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
L3829
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487742383
NPI INDIVIDUAL
TX
Enumeration date
05/05/2010
Last updated
05/05/2010
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