# FADI G. GHANEM, MD PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Maternal and Family Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386868875
- **Authorized official:** DR. FADI G GHANEM M.D. (PRESIDENT)
- **Authorized official phone:** (281) 419-1599

## Contact information

- **Practice address:** 1111 MEDICAL PLAZA DR, SUITE 230, THE WOODLANDS, TX 77380-3476
- **Practice address phone:** (281) 419-1599
- **Practice address fax:** (281) 898-7632
- **Mailing address:** PO BOX 7727, SPRING, TX 77387-7727
- **Mailing address phone:** (281) 419-1599
- **Mailing address fax:** (281) 898-7632

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | H8071 | TX | Yes |
| 291U00000X | Clinical Medical Laboratory | H8071 | TX | — |

## Other

- **Enumeration date:** 04/13/2007
- **Last updated:** 08/18/2015