Provider Demographics
NPI:1952372252
Name:SIDDIQI, ZOHRA F (DO)
Entity Type:Individual
Prefix:DR
First Name:ZOHRA
Middle Name:F
Last Name:SIDDIQI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:200 MEDICAL CENTER BLVD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-4226
Mailing Address - Country:US
Mailing Address - Phone:281-724-1271
Mailing Address - Fax:281-724-1272
Practice Address - Street 1:200 MEDICAL CENTER BLVD
Practice Address - Street 2:SUITE102
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4226
Practice Address - Country:US
Practice Address - Phone:281-724-1271
Practice Address - Fax:281-724-1272
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-27
Last Update Date:2013-02-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXK8492207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX150543006Medicaid
TX150543006Medicaid