Provider Demographics
NPI:1588853402
Name:ZIWORITIN, DAMA ALEXANDER (MD)
Entity Type:Individual
Prefix:DR
First Name:DAMA
Middle Name:ALEXANDER
Last Name:ZIWORITIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19318 ROUND PRAIRIE LN
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-7347
Mailing Address - Country:US
Mailing Address - Phone:832-520-6363
Mailing Address - Fax:281-201-2117
Practice Address - Street 1:12000 RICHMOND AVE STE 215
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-2428
Practice Address - Country:US
Practice Address - Phone:832-532-7068
Practice Address - Fax:281-201-2117
Is Sole Proprietor?:No
Enumeration Date:2007-10-16
Last Update Date:2023-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP2178207V00000X
TX92178207VC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VC0200XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyCritical Care Medicine
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA58938OtherGA LICENSE
NV12592OtherNV LICENSE
MI4301084425OtherMI LICENSE
UT79124371205OtherUT LICENSE
NMMD100-2008OtherNM LICENSE
FL109891OtherFL LICENSE
NC201100358OtherNC LICENSE
TX375696701Medicaid
TXP2178OtherTX LICENSE
VA0101250008OtherVA LICENSE
TXP2178OtherTX LICENSE