Individual
MRS. CONCEPCION FANOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
2737 S BROADWAY AVE, TYLER, TX 75701-5445
(903) 592-6000
(903) 592-3224
Mailing address
PO BOX 6605, TYLER, TX 75711-6605
(903) 592-6000
(903) 592-3224
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1197042
TX
Other
Enumeration date
11/09/2022
Last updated
04/15/2026
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