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Wajdi Khdaish

Physician β€’ Fort Worth, TX

Deactivated NPI 1033886403 Deactivated in NPPES Male Practitioner
Practice location in NPPES

7404 Gairlock Dr
Fort Worth, TX 761794818

Phone: 5163125553

Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of July 16, 2026; the reason is not published. The records below are historical. They do not show whether Wajdi Khdaish currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date August 24, 2021
NPI Deactivation Date July 16, 2026
NPI Active Period 2021 – 2026

Practice Location & Contact Primary Location

Practice Address

7404 Gairlock Dr

Fort Worth, TX 761794818

Telephone 5163125553
Organization at the Same NPPES Address or Phone
Medalife Care Transport Facility NPI 1477473833

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Fort Worth and Texas

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Non-emergency Medical Transport (VAN) Primary Specialty

NUCC Taxonomy Code: 343900000X

A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
⚠️
NPI Profile Deactivated July 16, 2026

NPPES lists this NPI as deactivated as of July 16, 2026; the reason is not published.

βœ…
NPI Profile Active August 25, 2021

NPI status registered as active in NPPES database

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Practice Location (Initial Record) August 25, 2021

Registered at 7404 GAIRLOCK DR, FORT WORTH, TX 761794818 (Tel: 5163125553)

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Business Mailing Address (Initial Record) August 25, 2021

Registered at 7404 GAIRLOCK DR, FORT WORTH, TX 761794818 (Tel: 5163125553)

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Provider Name / Credentials (Initial Record) August 25, 2021

Recorded as WAJDI KHDAISH

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 25, 2021

Non-emergency Medical Transport (VAN)

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Initial NPI Registration & Enumeration August 24, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1033886403
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 24, 2021
Last Update: August 25, 2021
Deactivation Date: July 16, 2026

Mailing Address

7404 Gairlock Dr

Fort Worth, TX 761794818

Phone: 5163125553

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.