Siadati Surgical Consulting LLC

NPI #1164024170 in Grapevine, Texas

Provider Information

NPI Number
1164024170
Entity Type
Organization
Organization Name
Siadati Surgical Consulting LLC
Primary Specialty
Surgery
Enumeration Date
Nov 13, 2020
Last Updated
Nov 13, 2020

Practice Location

Address
2050 HALL JOHNSON RD STE 200
State
Texas
ZIP Code
76051-8766
Phone
(817) 267-2678

Authorized Official

Name
MOHAMMAD R SIADITI, MD
Title
OWNER/PHYSICIAN
Phone
(972) 890-3459

Specialties & Taxonomy Codes

Specialty
Surgery

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Provider Name
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Provider Name
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