Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | M1348 | TX |
NPI | 1346265725 |
---|---|
Provider Name | Gazala Siddiqui |
First Address | Houston, TX 77030 |
Second Address | Houston, TX 77030-3000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2006 |
Last Update Date | 08/06/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
167705601 | (05) | TX |
167705604 | (05) | TX |
8H3604 | BCBS (01) | TX |
I17368 | (02) | TX |