Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | S4597 | TX |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | S4597 | TX |
NPI | 1396165759 |
---|---|
Provider Name | Hibba Aziz |
First Address | Pearland, TX 77584-7298 |
Second Address | Shenandoah, TX 77384-3000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2014 |
Last Update Date | 03/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
415415501 | (05) | TX |
415415502 | (05) | TX |
415415503 | (05) | TX |