| NPI | 1568691327 |
|---|---|
| Doing Business As | LAKE JACKSON FAMILY PRACTICE, PA |
| Entity Type | Organization |
| Authorized Contact | SAQIB A SIDDIQUI Md/President 281-292-1121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: TX M9431) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX N3996) |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2011-05-19 |