Individual
GAZALA SIDDIQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6410 FANNIN ST, 250, HOUSTON, TX 77030-3000
(832) 325-7131
Mailing address
6431 FANNIN, MSB 3.286, HOUSTON, TX 77030
(713) 500-6412
(713) 500-7860
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
M1348
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167705601
—
TX
05
—
167705604
—
TX
01
—
8H3604
BCBS
TX
Enumeration date
07/13/2006
Last updated
06/08/2016
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