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Organization
GHASSAN N. FANOUS, M.D. PA
Active
Organization
GHASSAN N. FANOUS, M.D. PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTI A MARTINEZ (OFFICE COORDINATOR)
(432) 582-2280
Entity
Organization
Contact information
Practice address
540 W 5TH ST, SUITE 420, ODESSA, TX 79761-5034
(432) 582-2280
(432) 331-9981
Mailing address
540 W 5TH ST, SUITE 420, ODESSA, TX 79761-5034
(432) 582-2280
(432) 331-9981
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
J3306
TX
Other
Enumeration date
08/31/2007
Last updated
03/24/2008
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