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General NPI Number Information
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NPI Number | 1679428205
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Entity Type | Organization
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Legal Business Name | DEER PARK EMERGENCY PHYSICIANS PLLC
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Dates
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Enumeration Date | 02/27/2026
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Last Update Date | 02/27/2026
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Provider Practice Location Address
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Address Line | 1101 EAST BLVD
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City | DEER PARK
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State | TX
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Zip | 77536-1909
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Country | US
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Telephone | 346-954-6007
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Fax | 346-954-6222
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Provider Business Mailing Address
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Address Line | 2405 BARTON SHORE DR
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City | PEARLAND
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State | TX
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Zip | 77584-3952
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. KASHIF AHMED SIDDIQUI
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Credential | MD
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Telephone | 832-462-9574
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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