Organization
NW CYPRESS PEDIATRIC AND FAMILY MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAHRIN SIDDIQUA MD (OWNER/PHYSICIAN)
(281) 469-7400
Entity
Organization
Contact information
Practice address
11240 FM 1960 RD W, SUITE 210, HOUSTON, TX 77065-3662
(281) 469-7400
(281) 469-7403
Mailing address
11240 FM 1960 RD W, SUITE 210, HOUSTON, TX 77065-3662
(281) 469-7400
(281) 469-7403
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208000000X
Pediatrics Physician
Primary
72805
TX
Other
Enumeration date
05/11/2011
Last updated
01/26/2012
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