Individual
SANA INAM SIDDIQI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6550 FANNIN ST, HOUSTON, TX 77030-2717
(713) 441-5200
Mailing address
2003 MEDWAY DR, SPRING, TX 77386-1727
(281) 617-8838
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA14123
TEXAS MEDICAL BOARD
TX
Enumeration date
08/05/2019
Last updated
04/08/2024
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