Individual
DR. HANA ISAM ZIBDEH-LOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
940 HESTERS CROSSING RD, ROUND ROCK, TX 78681-8018
(512) 244-9024
(512) 406-7342
Mailing address
4515 SETON CENTER PKWY, SUITE 215 - CREDENTIALING, AUSTIN, TX 78759-5290
(512) 231-5506
(512) 406-6216
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2374
WV
208000000X
Pediatrics Physician
253154
MA
208000000X
Pediatrics Physician
Primary
P7373
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
326108YKXV
ARC TRAVIS MEDICARE
TX
01
—
326108YKXY
ARC ROT MEDICARE
TX
01
—
326367503
ARC TRAVIS MEDICAID
TX
01
—
326367504
ARC ROT MEDICAID
TX
Enumeration date
08/12/2008
Last updated
02/03/2015
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