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HIRUT NICODIMOS
NPI 1003058819
Physician Assistant - Medical in Round Rock, TX

Active since March 26, 2009
302 UNIVERSITY BLVD, ROUND ROCK, TX 78665(512) 509-0200 Get Directions Write a Review

NPPES record last updated: March 8, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Hirut Nicodimos NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HIRUT NICODIMOS (NPI 1003058819) is an individual medical provider in Round Rock, Texas, licensed in Texas (PA06188) and active in the NPI registry since March 2009.

NPPES Registry Identity

NPI1003058819
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameHIRUT NICODIMOS
Location Address302 UNIVERSITY BLVDRound Rock, TX 78665-1032
Mailing Address302 University BlvdRound Rock, TX 78665-1032 · (512) 509-0200
Phone(512) 509-0200
Sole ProprietorNo
Enumeration DateMarch 26, 2009
Last NPPES UpdateMarch 8, 2013
✔ NPI 1003058819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in TX · PA06188
Also ListedOrthopaedic Surgery · Orthopaedic Surgery of the SpineTaxonomy 207XS0117X · License PA06188 (TX)
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA06188 (TX)
302 UNIVERSITY BLVD, Round Rock, TX 78665
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LISA D HENDERSON CRNA
Nurse Anesthetist, Certified Registered
302 UNIVERSITY BLVD
ROUND ROCK, TX 78665
Williamson County (512) 509-0200
VU NGUYEN
Internal Medicine (Gastroenterology)
302 UNIVERSITY BLVD
ROUND ROCK, TX 78665
Williamson County (512) 509-0200
MR. JOHN L. TROUTNER MD
Psychiatry & Neurology (Psychiatry)
302 UNIVERSITY BLVD
ROUND ROCK, TX 78665
Williamson County (512) 509-8404
DR. RAFAEL EDUARDO GONZALEZ M.D.
Internal Medicine (Interventional Cardiology)
302 UNIVERSITY BLVD
ROUND ROCK, TX 78665
Williamson County (512) 509-0200
KATIE BENJEGERDES HOMAN MD
Dermatology
302 UNIVERSITY BLVD
ROUND ROCK, TX 78665
Williamson County (512) 509-0200
ANEESA PATEL CAA
Anesthesiologist Assistant
302 UNIVERSITY BLVD
ROUND ROCK, TX 78665
Williamson County (512) 509-0200
JASON D PARKER M.D.
Anesthesiology
302 UNIVERSITY BLVD
ROUND ROCK, TX 78665
Williamson County (512) 509-0200
ROGER ALLEN SMITH M.D.
Surgery
302 UNIVERSITY BLVD
ROUND ROCK, TX 78665
Williamson County (281) 705-1197

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hirut Nicodimos's NPI number?

The NPI number for Hirut Nicodimos is 1003058819. It was assigned to this individual provider in the NPPES registry on March 26, 2009.

Where is Hirut Nicodimos located?

Hirut Nicodimos practices at 302 University Blvd, Round Rock, TX 78665. The listed phone number is (512) 509-0200.

What is Hirut Nicodimos's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Hirut Nicodimos was last updated on March 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.