Individual
ELIAS I FANOUS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 OLYMPIC PLAZA CIR, STE 508, TYLER, TX 75701-1951
(903) 526-3030
(903) 526-3036
Mailing address
700 OLYMPIC PLAZA CIR STE 508, TYLER, TX 75701-1952
(903) 526-3030
(903) 526-3036
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
H8030
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151497801
—
TX
Enumeration date
09/26/2005
Last updated
03/31/2026
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