Fanous, Elia

Fanous, Elia is an sole proprietor health care provider with primary practice located at 3501 N Macarthur Blvd Suite 500, Irving TX 75062-3636. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Fanous, Elia can be contacted via phone (972) 256-3700.

Contact Information

Primary practice address
3501 N Macarthur Blvd Suite 500 Irving TX 75062-3636
Phone: (972) 256-3700
Fax: (972) 258-9887
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X M1088 Texas

Profile Details

NPI number 1659308047
LBN Legal business name Fanous, Elia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2006
Last updated Oct 7th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659308047 NPPES
Texas Other 8AU310 BLUE CROSS BLUE SHIELD
Texas MEDICAID 188387801 BLUE CROSS BLUE SHIELD

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