Individual
SAMER E BIBAWI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2805 E PRESIDENT GEORGE BUSH HWY, RICHARDSON, TX 75082-3561
(469) 204-6100
(469) 204-6194
Mailing address
2805 E PRESIDENT GEORGE BUSH HWY, RICHARDSON, TX 75082-3561
(469) 204-6100
(469) 204-6194
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
K8715
TX
207RH0000X
Hematology (Internal Medicine) Physician
K8715
TX
207RX0202X
Medical Oncology Physician
Primary
K8715
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006005322
—
VA
05
—
043113202
—
TX
01
—
130P9
BLUE CROSS AND BLUE SHIEL
NC
01
—
3088796
AETNA HMO
—
01
—
3600202
UNITED HEALTH CARE
—
01
—
46757
PARTNERS NATIONAL HEALTH
NC
01
—
7283221
AETNA PPO
—
01
—
8761893013
CIGNA HEALTH PLANS
—
05
—
89130P9
—
NC
01
—
B3262
MEDCOST
NC
01
—
P00453503
RAILROAD MEDICARE
TX
Enumeration date
01/23/2006
Last updated
03/13/2023
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