Provider Demographics
NPI:1164064762
Name:ENGINEER, NIKITA PHIROZ (PA-C)
Entity Type:Individual
Prefix:MS
First Name:NIKITA
Middle Name:PHIROZ
Last Name:ENGINEER
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:104 WHISPERING PINES AVE
Mailing Address - Street 2:
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-4911
Mailing Address - Country:US
Mailing Address - Phone:713-429-5325
Mailing Address - Fax:281-816-5931
Practice Address - Street 1:12234 SHADOW CREEK PKWY STE 104
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-7330
Practice Address - Country:US
Practice Address - Phone:713-429-5232
Practice Address - Fax:281-816-5931
Is Sole Proprietor?:No
Enumeration Date:2019-10-15
Last Update Date:2024-01-26
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Provider Licenses
StateLicense IDTaxonomies
TXPA13119363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant