Basic Information
| Provider Information | |||||||||
| NPI: | 1417958752 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SIDDIQI | ||||||||
| FirstName: | MUZZIAN | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8080 N STADIUM DR | ||||||||
| Address2: | 200 | ||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770541829 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8328246633 | ||||||||
| FaxNumber: | 8328258901 | ||||||||
| Practice Location | |||||||||
| Address1: | 4410 NAVIGATION BLVD | ||||||||
| Address2: | 278 | ||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770111036 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7135478282 | ||||||||
| FaxNumber: | 7135478283 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/09/2005 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | L3127 | TX | Y | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.