Provider Demographics
NPI:1154818342
Name:TOLA, HAMZA MUHAMMAD (MD)
Entity Type:Individual
Prefix:MR
First Name:HAMZA
Middle Name:MUHAMMAD
Last Name:TOLA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:HAMZA
Other - Middle Name:MUHAMMAD
Other - Last Name:TOLA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:MEDICAL CITY FORT WORTH
Mailing Address - Street 2:900 8 TH AVENUE
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76104-3902
Mailing Address - Country:US
Mailing Address - Phone:817-336-2100
Mailing Address - Fax:
Practice Address - Street 1:MEDICAL CITY FORT WORTH
Practice Address - Street 2:900 8 TH AVENUE
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-3902
Practice Address - Country:US
Practice Address - Phone:817-336-2100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-13
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT1585207R00000X, 208M00000X
390200000X
WI2327-320207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
No208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Single Specialty
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program