| Siddique Medical Associates Pa | |
|
1611 Bryce Canyon Ln Allen TX 75002-2696 | |
| (214) 566-7714 | |
| Not Available |
| Full Name | Siddique Medical Associates Pa |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 1611 Bryce Canyon Ln, Allen, Texas |
| Authorized Official Name and Position | Reziuddin Siddique (OWNER) |
| Authorized Official Contact | 2145667714 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Siddique Medical Associates Pa 1611 Bryce Canyon Ln Allen TX 75002-2696 Ph: (214) 566-7714 | Siddique Medical Associates Pa 1611 Bryce Canyon Ln Allen TX 75002-2696 Ph: (214) 566-7714 |
| NPI Number | 1679023410 |
|---|---|
| Provider Enumeration Date | 10/05/2016 |
| Last Update Date | 12/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679023410 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | L2650 (Texas) | Primary |
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