| NPI | 1962881441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADILA N. SIDDIQI Physician 972-647-0550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TX PA09381) |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2015-05-29 |