Individual
GHASSAN N FANOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
207V00000X
Obstetrics & Gynecology Physician
Primary
J3306
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155882701
—
TX
Enumeration date
08/18/2006
Last updated
12/14/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us