Provider Demographics
NPI:1659770543
Name:HAMIDJAJA, HOA (NP)
Entity Type:Individual
Prefix:
First Name:HOA
Middle Name:
Last Name:HAMIDJAJA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22999 HIGHWAY 59 N 204
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-4439
Mailing Address - Country:US
Mailing Address - Phone:281-312-6313
Mailing Address - Fax:281-612-6314
Practice Address - Street 1:22999 HIGHWAY 59 N STE 204
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-4439
Practice Address - Country:US
Practice Address - Phone:281-312-6313
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-18
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP126142363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily