Organization
SIDDIQUE MEDICAL ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REZIUDDIN SIDDIQUE MD (OWNER)
(214) 566-7714
Entity
Organization
Contact information
Practice address
1611 BRYCE CANYON LN, ALLEN, TX 75002-2696
(214) 566-7714
Mailing address
1611 BRYCE CANYON LN, ALLEN, TX 75002-2696
(214) 566-7714
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
L2650
TX
Other
Enumeration date
10/05/2016
Last updated
12/08/2016
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