Organization
ELIAS GHANDOUR, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY L MCAULEY (OFFICE MANAGER)
(806) 795-4500
Entity
Organization
Contact information
Practice address
3814 22ND PL, LUBBOCK, TX 79410-1118
(806) 795-4500
(806) 795-4792
Mailing address
3814 22ND PL, LUBBOCK, TX 79410-1118
(806) 795-4500
(806) 795-4792
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
H4930
TX
Other
Enumeration date
10/13/2006
Last updated
08/22/2020
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