Organization
BRAINDOCS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRAN SIDDIQUI MD (CEO)
(817) 240-0012
Entity
Organization
Contact information
Practice address
2620 LONG PRAIRIE RD, #100, FLOWER MOUND, TX 75022
(817) 240-0012
(972) 724-2111
Mailing address
P.O. BOX 941927, PLANO, TX 75094-1927
(817) 240-0012
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Enumeration date
04/27/2016
Last updated
06/09/2022
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