MEDICARE: SPRING MONITORING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist

General Provider Information

NPI Number	:	1366883704
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPRING MONITORING

Provider Business Mailing Address
First Line	:	15814 CHAMPION FOREST #317
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77379-7141
Country	:	US
Telephone Number	:	832-443-2672
Fax Number	:	346-352-4171

Provider Business Practice Location Address
First Line	:	15814 CHAMPION FOREST #317
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77379-7141
Country	:	US
Telephone Number	:	832-443-2672
Fax Number	:	346-352-4171

Authorized Official
Title or Position	:	SOLE MBR
Name	:	NIKHAT SIDDIQI
Credential	:	MD
Telephone Number	:	281-772-8944

Provider Enumeration Date	:	07/15/2013
Last Update Date	:	01/20/2021

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Directions to “SPRING MONITORING ” Practice Location

Language	Start Address	Practice Location

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