Organization
PACIFIC DIAGNOSTICS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAQIB A SIDDIQUI M.D. (PRESIDENT)
(281) 292-1121
Entity
Organization
Contact information
Practice address
14450 TC JESTER, SUITE #250, HOUSTON, TX 77014-1332
(713) 774-7291
(713) 774-5478
Mailing address
P.O. BOX 132618, THE WOODLANDS, TX 77393-2618
(281) 292-1121
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
L1710
TX
2084N0600X
Clinical Neurophysiology Physician
—
—
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
06/24/2009
Last updated
05/19/2011
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