Healthcare Provider Details

I. General information

NPI: 1396829552
Provider Name (Legal Business Name): SAMEH FOUAD ELSAID MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/24/2006
Last Update Date: 05/20/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5252 W UNIVERSITY DR
MCKINNEY TX
75071-7822
US

IV. Provider business mailing address

5252 W UNIVERSITY DR
MCKINNEY TX
75071-7822
US

V. Phone/Fax

Practice location:
  • Phone: 469-764-6950
  • Fax:
Mailing address:
  • Phone: 469-764-6950
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number2003-00336
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number200300336
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberN8910
License Number StateTX
# 4
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberN8910
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: