Elia Fanous Md Pa

NPI 1043490527 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1043490527
Enumeration Date 11/13/2007
Last Updated 10/07/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ELIA ELIA
Position OWNER
Phone (972) 786-0140
Fax
Practice Location
3501 N MACARTHUR BLVD
STE 500
IRVING TX, 75062-3636, US
Phone (972) 786-0140
Fax
Business Location
3501 N MACARTHUR BLVD
STE 500
IRVING TX, 75062-3636, US
Phone (972) 786-0140
Fax
Toxanomy
Taxonomy Code 207V00000X
License State Texas
License Number M1088
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According to our database, Elia Fanous Md Pa NPI is 1043490527, taxonomy code is 207V00000X and license number is M1088, license state is located at Texas. Elia Fanous Md Pa physically located at 3501 N Macarthur Blvd, Irving TX, 75062-3636. NPI Number 1033115704 has the healthcare provider type.

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1043490527 NPI number is provided on an as is basis without warranty of any kind. 1043490527 is maintained by the National Plan & Provider Enumeration System. The contents of Elia Fanous Md Pa are for informational purposes only.