Healthcare Provider Details

I. General information

NPI: 1326219593
Provider Name (Legal Business Name): WORTHINGTON MEDICAL BILLING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2008
Last Update Date: 03/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33300 EGYPT LN STE F200
MAGNOLIA TX
77354-2741
US

IV. Provider business mailing address

33300 EGYPT LN STE F200
MAGNOLIA TX
77354-2741
US

V. Phone/Fax

Practice location:
  • Phone: 281-292-1121
  • Fax:
Mailing address:
  • Phone: 281-292-1121
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204C00000X
TaxonomySports Medicine (Neuromusculoskeletal Medicine) Physician
License NumberM0921
License Number StateTX

VIII. Authorized Official

Name: DR. SAQIB SIDDIQUI
Title or Position: PRESIDENT/CEO
Credential: MD
Phone: 281-292-1121