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:
Health care specialties
| Specialty | Code | License # | 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 18 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 | 1659308047 | NPPES |
| Texas | Other | 8AU310 | BLUE CROSS BLUE SHIELD |
| Texas | MEDICAID | 188387801 | BLUE CROSS BLUE SHIELD |
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