Healthcare Provider Details

I. General information

NPI: 1730884982
Provider Name (Legal Business Name): ASAD SIDDIQI D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2023
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7101 CUSTER RD BLDG 10
FRISCO TX
75035-3409
US

IV. Provider business mailing address

1601 LITCHFIELD DR
MCKINNEY TX
75071-7479
US

V. Phone/Fax

Practice location:
  • Phone: 469-831-3267
  • Fax:
Mailing address:
  • Phone: 469-831-3267
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number692291
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: