Provider Demographics
NPI:1841203379
Name:SAADI, PAUL DOMINIC (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:DOMINIC
Last Name:SAADI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12222 N CENTRAL EXPY STE 130
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-3758
Mailing Address - Country:US
Mailing Address - Phone:214-324-2471
Mailing Address - Fax:214-324-1734
Practice Address - Street 1:12222 N CENTRAL EXPY STE 130
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-3758
Practice Address - Country:US
Practice Address - Phone:214-324-2471
Practice Address - Fax:214-324-1734
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2021-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK4550207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX045819201Medicaid
TX878832OtherBCBS
TX5102556OtherAETNA
TX20033922OtherRAILROAD MEDICARE
TXK4550OtherTEXAS MEDICAL LICENSE
TXK4550OtherTEXAS MEDICAL LICENSE
TX5102556OtherAETNA
TX045819201Medicaid