Individual provider · Type 1 NPI
Hirut Nicodimos
Medical Physician Assistant · Round Rock, TX
NPI number
1003058819
Active
Practice location
302 University Blvd
Round Rock, TX 78665-1032
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA06188 (TX) |
| Medical Physician Assistant Primary | 363AM0700X | PA06188 (TX) |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | PA06188 (TX) |
Medical Physician Assistant: Definition to come...
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About NPI 1003058819
Hirut Nicodimos's National Provider Identifier is 1003058819, issued on Mar 26, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Round Rock, TX. The record was last updated on Mar 8, 2013.