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Organization

ELLE DIAGNOSTIC 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
33300 EGYPT LN STE F200, MAGNOLIA, TX 77354-2741
(281) 292-1121
(832) 553-3211
Mailing address
33300 EGYPT LN STE F200, MAGNOLIA, TX 77354-2741
(281) 292-1121
(832) 553-3211

Taxonomy

Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
L1737
TX

Other

Enumeration date
10/22/2007
Last updated
07/02/2008
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