Provider Demographics
NPI:1477728079
Name:SATTAR, BIBI TASLEYMA (DO)
Entity Type:Individual
Prefix:DR
First Name:BIBI
Middle Name:TASLEYMA
Last Name:SATTAR
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7633 BELLAIRE DR S STE 121
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76132-4311
Mailing Address - Country:US
Mailing Address - Phone:817-346-3366
Mailing Address - Fax:817-346-3710
Practice Address - Street 1:7633 BELLAIRE DR S STE 121
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76132-4311
Practice Address - Country:US
Practice Address - Phone:817-346-3366
Practice Address - Fax:817-346-3710
Is Sole Proprietor?:No
Enumeration Date:2008-04-24
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN1880204D00000X, 207Q00000X
FLOS10117207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8BQ008OtherBCBS
TX199358601Medicaid
TX8BQ008OtherBCBS