Elias I Fanous is a Gastroenterology in Tyler, Texas. Elias I Fanous practices all healthcare services and medical treatments related to Gastroenterology. The NPI Number for Elias I Fanous is 1760478689. The last update date is 2010-10-04.
Elias I Fanous's current location address is 700 Olympic Plaza Cir Ste 508, Tyler, Texas. You can contact this provider via phone number 9035263030 and fax number 9035263036. The mailing address for Elias I Fanous is 700 Olympic Plaza Cir Ste 508, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elias I Fanous |
|---|---|
| Address | 700 Olympic Plaza Cir Ste 508, Tyler, Texas |
| Phone Number | 9035263030 |
| Fax Number | 9035263036 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1760478689 |
|---|---|
| Provider Enumeration Date | 2005-09-26 |
| Last Updated Date | 2010-10-04 |
Provider Mailing Address Detail
| Address | 700 Olympic Plaza Cir Ste 508 |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 757011952 |
| Phone Number | 9035263030 |
| Fax Number | 9035263036 |
Provider's Primary Taxonomy Detail
| Speciality | Gastroenterology |
|---|---|
| Taxonomy | 207Rg0100X |
| Licence No | H8030 |
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Definition: An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and perf |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 151497801 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Elias I Fanous by the Centers for Medicare & Medicaid Services?
The Elias I Fanous has been assigned the NPI (National Provider Identifier) 1760478689 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Elias I Fanous's physical address?
The Elias I Fanous is physically located at 700 Olympic Plaza Cir Ste 508, in the city of Tyler, TX, with the postal code 757011952.
What is the area of specialization for Elias I Fanous, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Elias I Fanous is Gastroenterology, and the corresponding taxonomy code that categorizes this area of expertise is 207Rg0100X.
On what date did the Elias I Fanous receive the assignment of its 1760478689 from the Centers for Medicare & Medicaid Services?
The Elias I Fanous was issued its 1760478689 by the Centers for Medicare & Medicaid Services on 2005-09-26.
As of what date were the Elias I Fanous's details last updated?
The information pertaining to the Elias I Fanous, including its address, specialty, and other details, was most recently updated on 2010-10-04.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY