MEDICARE: DR. DAMA ALEXANDER ZIWORITIN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	P2178	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	12592	OTHER	NV	NV LICENSE
2	4301084425	OTHER	MI	MI LICENSE
3	0101250008	OTHER	VA	VA LICENSE
4	201100358	OTHER	NC	NC LICENSE
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	P2178	OTHER	TX	TX LICENSE

General Provider Information

NPI Number	:	1588853402
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAMA ALEXANDER ZIWORITIN MD

Provider Business Mailing Address
First Line	:	19318 ROUND PRAIRIE LN
Second Line	:
City	:	CYPRESS
State	:	TX
Zip	:	77433-7347
Country	:	US
Telephone Number	:	832-520-6363
Fax Number	:	281-201-2117

Provider Business Practice Location Address
First Line	:	12000 RICHMOND AVE STE 215
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77082-2428
Country	:	US
Telephone Number	:	832-532-7068
Fax Number	:	281-201-2117

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/16/2007
Last Update Date	:	10/03/2025

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Directions to “ DR. DAMA ALEXANDER ZIWORITIN MD” Practice Location

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