Provider Demographics
NPI:1306930482
Name:ESMAELI, BITA (MD)
Entity type:Individual
Prefix:
First Name:BITA
Middle Name:
Last Name:ESMAELI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:BITA
Other - Middle Name:
Other - Last Name:ESMAELI-AZAD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:21009 KUYKENDAHL RD STE A
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-3310
Mailing Address - Country:US
Mailing Address - Phone:832-663-6566
Mailing Address - Fax:832-663-6550
Practice Address - Street 1:21009 KUYKENDAHL RD STE A
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-3310
Practice Address - Country:US
Practice Address - Phone:832-663-6566
Practice Address - Fax:832-663-6550
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK6579207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX46374701Medicaid
TX8ZE031OtherBCBS RECORD ID UNDER TEXAS SURGICAL
TX180034863OtherRR MEDICARE
TX88832SOtherBCBS
TX46374701Medicaid