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

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