Active NPI
Pacific Diagnostics, PA
- Mobile Radiology Clinic/Center
- Houston, TX
National Provider Identifier
1386872703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mobile Radiology Clinic/Center
- Legal business name
- PACIFIC DIAGNOSTICS, PA
- Practice address
- 14450 TC Jester
Suite #250
Houston, TX 77014-1332 - Phone
- (713) 774-7291
- Fax
- (713) 774-5478
- NPI assigned
- Jun 24, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Saqib A Siddiqui, M.D.
- Title
- President
- Phone
- (281) 292-1121
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | L1710 | TX | |
| Clinical Neurophysiology Physician | 2084N0600X | |||
| Mobile Radiology Clinic/Center | 261QR0208X | Primary |
Addresses
Primary practice location
14450 TC Jester
Suite #250
Houston, TX 77014-1332
Mailing address
P.O. Box 132618
The Woodlands, TX 77393-2618
Phone (281) 292-1121
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245801600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1305763200000",
"number": "1386872703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 132618",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773932618",
"telephone_number": "281-292-1121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14450 TC JESTER",
"address_2": "SUITE #250",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770141332",
"telephone_number": "713-774-7291",
"fax_number": "713-774-5478"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PACIFIC DIAGNOSTICS, PA",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-24",
"last_updated": "2011-05-19",
"status": "A",
"authorized_official_last_name": "SIDDIQUI",
"authorized_official_first_name": "SAQIB",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "281-292-1121",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "TX",
"license": "L1710",
"primary": false
},
{
"code": "2084N0600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0208X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology, Mobile",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.