Muhammad Talal Siddique, M.D.
Family Medicine in Fort Worth, TX. Individual provider (NPI-1).
NPI number1265736367
StatusActive
Last updated in NPPESMar 18, 2015
Details
- NPI
- 1265736367
- Entity type
- Individual (NPI-1)
- Name
- Muhammad Talal Siddique
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 4, 2011
- Last updated
- Mar 18, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - FAMILY PRACTICE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | P7035 | TX | Yes |
Practice location
6100 Harris PkwyFort Worth, TX 76132-4101
Phone 817-250-4906 · Fax 817-250-4815
Mailing address
6100 Harris PkwyFort Worth, TX 76132-4101
Phone 817-250-4906 · Fax 817-250-4815
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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