MEDICARE: BACHAR ELSAADI 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	207Q00000X	Family Medicine Physician	R9059	TX
2	207Q00000X	Family Medicine Physician	BP10053858	TX

General Provider Information

NPI Number	:	1326421918
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BACHAR ELSAADI MD

Provider Business Mailing Address
First Line	:	1200 W WALNUT HILL LN STE 1300
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75038-3050
Country	:	US
Telephone Number	:	214-396-7397
Fax Number	:

Provider Business Practice Location Address
First Line	:	6302 MEADOWBROOK DR STE 112
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76112
Country	:	US
Telephone Number	:	817-446-0800
Fax Number	:

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

Provider Enumeration Date	:	07/01/2015
Last Update Date	:	03/06/2026

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Directions to “ BACHAR ELSAADI MD” Practice Location

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