Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Hirut Nicodimos

Individual provider Surgical Physician Assistant · NPI 1003058819

Hirut Nicodimos is a Surgical Physician Assistant in Round Rock, Texas. Licensed in Texas. Registered with an NPI since 2009.

Licensed in
TX
In the registry since
2009
Specialties on file
3

Practice location Address checks out

302 University Blvd
Round Rock, TX 78665-1032
Phone: (512) 509-0200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA06188 (TX)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA06188 (TX)
Orthopaedic Surgery of the Spine Physician Taxonomy 207XS0117X · Licence PA06188 (TX)

Record details

NPI number1003058819
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 26, 2009
Last updated in NPPESMarch 8, 2013
Mailing address302 University Blvd, Round Rock, TX 78665-1032

Other providers in Round Rock