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Individual

DR. HAROON W SIDDIQUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
902 PRESKITT RD STE 200, DECATUR, TX 76234-4101
(940) 626-1848
(940) 626-1047
Mailing address
1816 S FM 51, SUITE 400, #130, DECATUR, TX 76234-3784
(940) 626-1848
(940) 626-1849

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
M6397
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
191149702
TX
05
191149703
TX
01
8BP530
BCBS
TX
Enumeration date
08/30/2006
Last updated
06/07/2022
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