ELIA FANOUS MD PA NPI 1043490527

NPI Information

  • NPI: 1043490527
  • Provider Name: ELIA FANOUS MD PA
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Organization
  • Address: 3501 N MACARTHUR BLVD
    STE 500
    IRVING, TX
    ZIP 75062
  • Phone: (972) 786-0140

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NPI Details

ELIA FANOUS MD PA is an obstetrics gynecology in Irving, TX. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. ELIA FANOUS MD PA NPI is 1043490527. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3501 N MACARTHUR BLVD
STE 500
IRVING, TX
ZIP 75062-636
Phone: (972) 786-0140

The provider's authorized official is Elia Fanous .
The authorized official title is Owner and has the following contact phone number (972) 786-0140.

The enumeration date for this NPI number is 11/13/2007 and was last updated on 10/7/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyM1088TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1189357001MEDICAIDTEXAS
200Z502MEDICARE PIN
30026QUOTHERTEXASBLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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