| Nw Cypress Pediatric And Family Medicine, Pllc | |
|
11240 Fm 1960 Rd W Suite 210 Houston TX 77065-3662 | |
| (281) 469-7400 | |
| (281) 469-7403 |
| Full Name | Nw Cypress Pediatric And Family Medicine, Pllc |
|---|---|
| Speciality | Pediatrics |
| Location | 11240 Fm 1960 Rd W, Houston, Texas |
| Authorized Official Name and Position | Tahrin Siddiqua (OWNER/PHYSICIAN) |
| Authorized Official Contact | 2814697400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nw Cypress Pediatric And Family Medicine, Pllc 11240 Fm 1960 Rd W Suite 210 Houston TX 77065-3662 Ph: (281) 469-7400 | Nw Cypress Pediatric And Family Medicine, Pllc 11240 Fm 1960 Rd W Suite 210 Houston TX 77065-3662 Ph: (281) 469-7400 |
| NPI Number | 1386936292 |
|---|---|
| Provider Enumeration Date | 05/11/2011 |
| Last Update Date | 01/26/2012 |
| Medicare PECOS PAC ID | 6406029180 |
|---|---|
| Medicare Enrollment ID | O20111025000040 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386936292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | 72805 (Texas) | Primary |
| Provider Name | Tahrin Siddiqua |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285893123 PECOS PAC ID: 6305019084 Enrollment ID: I20111025000056 |
| Provider Name | Jahangir Kabir |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104076017 PECOS PAC ID: 7315110004 Enrollment ID: I20111025000146 |
| Provider Name | Sherin M Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992213276 PECOS PAC ID: 8123389780 Enrollment ID: I20180223000874 |
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