Basic Information
| Provider Information | |||||||||
| NPI: | 1528631892 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HAMZA | ||||||||
| FirstName: | AYAH | ||||||||
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| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 650859 | ||||||||
| Address2: | |||||||||
| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 752650859 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4097722222 | ||||||||
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| Practice Location | |||||||||
| Address1: | 301 8TH ST | ||||||||
| Address2: | |||||||||
| City: | GALVESTON, TX | ||||||||
| State: | TX | ||||||||
| PostalCode: | 77550 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4097721011 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/23/2021 | ||||||||
| LastUpdateDate: | 07/23/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/24/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | BP10077003 | TX | Y | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.