Healthcare Provider Details

I. General information

NPI: 1306230362
Provider Name (Legal Business Name): HAMZA AZIZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2015
Last Update Date: 09/12/2024
Certification Date: 09/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

275 LANTERN BEND DR STE 200
HOUSTON TX
77090-2842
US

IV. Provider business mailing address

27700 NORTHWEST FWY STE 600
CYPRESS TX
77433-7218
US

V. Phone/Fax

Practice location:
  • Phone: 281-440-0101
  • Fax:
Mailing address:
  • Phone: 346-231-6750
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberR6145
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number19000
License Number StateNV
# 3
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number96269
License Number StateGA
# 4
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: