Fanous, Elias I
Fanous, Elias I is an individual health care provider with primary practice located at 700 Olympic Plaza Cir Ste 508, Tyler TX 75701-1951. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Fanous, Elias I can be contacted via phone (903) 526-3030.Contact Information
Primary practice address
700 Olympic Plaza Cir Ste 508
Tyler TX 75701-1951
Phone: (903) 526-3030
Fax: (903) 526-3036
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | H8030 | Texas |
Profile Details
| NPI number | 1760478689 |
|---|---|
| LBN Legal business name | Fanous, Elias I |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2005 |
| Last updated | Oct 4th, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760478689 | NPPES |
| Texas | MEDICAID | 151497801 |
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