Individual
CAROLINE GRACE FANOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4333 N JOSEY LN, CARROLLTON, TX 75010-4629
(972) 394-8844
Mailing address
4333 N JOSEY LN, CARROLLTON, TX 75010-4629
(972) 394-8844
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA18237
TX
Other
Enumeration date
09/11/2024
Last updated
05/03/2026
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