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1760478689
ELIAS I FANOUS
TYLER, TX
NPI
1760478689
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RG0100X Internal Medicine, Gastroenterology
(Licence: TX H8030)
Enumeration Date
2005-09-26
Last Update Date
2010-10-04
Business Address
-- ELIAS I FANOUS MD
700 OLYMPIC PLAZA CIR STE 508
TYLER, TX 75701-1951
Phone number: 903-526-3030
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Mailing Address
-- ELIAS I FANOUS MD
700 OLYMPIC PLAZA CIR STE 508
TYLER, TX 75701-1952
Phone number: 903-526-3030
Copy
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