Healthcare Provider Details

I. General information

NPI: 1770590945
Provider Name (Legal Business Name): ABDOOL ROHOMAN HAMID MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: ABDOOL ROHOMAN HAMID MD

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 05/19/2022
Certification Date: 05/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

512 BOWIE ST
BORGER TX
79007-4046
US

IV. Provider business mailing address

512 BOWIE ST
BORGER TX
79007-4046
US

V. Phone/Fax

Practice location:
  • Phone: 806-273-5300
  • Fax: 580-920-8067
Mailing address:
  • Phone: 806-273-5300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code173000000X
TaxonomyLegal Medicine
License NumberM7240
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberM7240
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: