MEDICARE: DR. CHRIS BAJAJ D.O.

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	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	L7653	TX

General Provider Information

NPI Number	:	1164454369
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRIS BAJAJ D.O.

Provider Business Mailing Address
First Line	:	7801 OAKMONT BLVD STE 109
Second Line	:
City	:	FT WORTH
State	:	TX
Zip	:	76132-4242
Country	:	US
Telephone Number	:	817-253-9535
Fax Number	:	817-770-0731

Provider Business Practice Location Address
First Line	:	7801 OAKMONT BLVD STE 109
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76132-4242
Country	:	US
Telephone Number	:	817-253-9535
Fax Number	:	817-770-0731

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

Provider Enumeration Date	:	07/07/2006
Last Update Date	:	03/03/2025

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