Individual
BATOOL SUMMER SIDDIQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPO
Contact information
Practice address
99 CHEEK SPARGER RD STE 104A, COLLEYVILLE, TX 76034-2204
(682) 390-4499
(817) 549-9460
Mailing address
99 CHEEK SPARGER RD STE 104A, COLLEYVILLE, TX 76034-2204
(682) 390-4499
(817) 549-9460
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
1982
TX
224P00000X
Prosthetist
Primary
1982
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04188
CPO
—
01
—
1982
TEXAS DEPARTMENT OF LICENSING & REGULATION
TX
Enumeration date
06/12/2019
Last updated
11/13/2023
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