HIRUT NICODIMOS NPI 1003058819

NPI Information

NPI: 1003058819
Provider Name: HIRUT NICODIMOS
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
302 UNIVERSITY BLVD
ROUND ROCK, TX
ZIP 78665
Phone: (512) 509-0200
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Hirut Nicodimos is a medical physician assistant in Round Rock, TX. Hirut Nicodimos NPI is 1003058819. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

302 UNIVERSITY BLVD
ROUND ROCK, TX
ZIP 78665-032
Phone: (512) 509-0200

The enumeration date for this NPI number is 3/26/2009 and was last updated on 3/8/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	PA06188	TEXAS	No
2	207XS0117X	Orthopaedic Surgery	Orthopaedic Surgery of the Spine	PA06188	TEXAS	No
3	363AM0700X	Physician Assistant	Medical	PA06188	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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