GHASSAN N. FANOUS, M.D. PA (NPI# 1629262787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629262787 |
| Entity Type | Organization |
| Organization Name | GHASSAN N. FANOUS, M.D. PA |
| Practice Address |
540 W 5th St Suite 420 Odessa TX 79761-5034 |
| Practice Telephone | 4325822280 |
| Practice Fax Number | 4323319981 |
| Mailing Telephone | 4325822280 |
| Mailing Fax Number | 4323319981 |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2008-03-24 |
| Authorized Official Name | MRS. KRISTI A MARTINEZ (OFFICE COORDINATOR) |
| Authorized Official Telephone | 4325822280 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
J3306 | TX | Ambulatory Health Care Facilities |
| Street Address |
540 W 5TH ST SUITE 420 |
| City | ODESSA |
| State | TX |
| Zip Code | 79761-5034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982608964 | Donald D Davenport Jr. | Surgery | 540 W 5th St, Ste 470, Odessa, TX 79761-5070 | 2005-06-08 |
| 1336756030 | Veronica Garcia | Nurse Practitioner | 540 W 5th St, Odessa, TX 79761-5034 | 2020-09-26 |
| 1407390180 | Odessa Surgical Services, Pllc | Clinic/Center | 540 W 5th St, Suite 470, Odessa, TX 79761-5034 | 2016-12-14 |
| 1306296538 | Josue Raygosa | Pharmacist | 540 W 5th St, Odessa, TX 79761-5034 | 2016-06-19 |
| 1700241635 | Brandon Barnes | Pharmacist | 540 W 5th St, Suite 100, Odessa, TX 79761-5034 | 2015-12-18 |
| 1780008532 | H-e-b, Lp | Clinical Medical Laboratory | 540 W 5th St, Odessa, TX 79761 | 2014-02-14 |
| 1013269190 | Audiology Consultants, Inc. | Audiologist-Hearing Aid Fitter | 540 W 5th St, Suite 405, Odessa, TX 79761-5034 | 2012-10-12 |
| 1891083689 | Raphael Ezera Nwojo | Otolaryngology | 540 W 5th St, Suite 410, Odessa, TX 79761-5034 | 2011-07-14 |
| 1568608198 | Ashutosh Gupta | Internal Medicine | 540 W 5th St, Suite 300, Odessa, TX 79761-5034 | 2009-01-03 |
| 1922254572 | Acute Orthopedic Care Specialists Pllc | Surgery | 540 W 5th St, Suite 350, Odessa, TX 79761-5034 | 2008-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482003 | Endovascular Lab Pllc | Surgery | 612 N Washington Avenue, Suite 100, Odessa, TX 79761 | 2020-03-16 |
| 1235627605 | Megan Elizabeth Lemond | Pediatrics | 912 E 5th St, Odessa, TX 79761 | 2018-05-01 |
| 1922522630 | Brian W Griffin | Nurse Practitioner | 4606 Fountain Ln., Odessa, TX 79761 | 2017-08-03 |
| 1023540507 | Florenda De Guzman | Nurse Practitioner | 405 N Tom Green, Odessa, TX 79761 | 2017-04-03 |
| 1205378239 | Scotty R Ortega Md | Clinical Nurse Specialist | 2487 E 11th Street, Odessa, TX 79761 | 2016-11-08 |
| 1487094355 | Marivel Perez | Nurse Practitioner | 540 W 5th St Ste 350, Ste. 350, Odessa, TX 79761 | 2013-06-25 |
| 1245579804 | Accurate Health Care LLC | Home Health | 302 Industrial Ave, Odessa, TX 79761 | 2013-02-01 |
| 1437421666 | Mary Magdalene Garcia | Speech-Language Pathologist | 620 N. Alleghaney, Odessa, TX 79761 | 2012-02-03 |
| 1841576378 | Ashley Burdex | Family Medicine | 6030 W University, Odessa, TX 79761 | 2011-10-28 |
| 1730465428 | Therese A Archer | Massage Therapist | 712 N. Texas Ave, Odessa, TX 79761 | 2011-10-26 |
| Find all providers in zip 79761 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740888080 | Ameri Medical | Clinic/Center | 2301 Marsh Ln Ste 600, Plano, TX 75093-8497 | 2020-10-09 |
| 1093326969 | Origin Spine Institute LLC | Clinic/Center | 9135 Katy Fwy Ste 300, Houston, TX 77024-1619 | 2020-08-13 |
| 1164061644 | Iari | Clinic/Center | 12606 Greenville Ave Ste 190b, Dallas, TX 75243-1921 | 2019-12-31 |
| 1366081192 | Sprout Chiropractic Pllc | Clinic/Center | 3421 W William Cannon Dr Ste 145, Austin, TX 78745-5002 | 2019-12-26 |
| 1902369101 | Banerji Plastic Surgery | Clinic/Center | 11914 Astoria Blvd Ste 580, Houston, TX 77089-5975 | 2019-04-13 |
| 1831653526 | Naveli Medical Services, Pllc | Clinic/Center | 9090 Gaylord Dr Ste 200, Houston, TX 77024-2948 | 2019-01-26 |
| 1740758606 | Landry's Elite Medical Enterprise, Pllc | Clinic/Center | 3204 Melody Peak Ln, Pearland, TX 77581-2555 | 2018-11-08 |
| 1982179602 | Spring Center of Hope | Clinic/Center | 20008 Champion Forest Dr Ste 1202, Spring, TX 77379-8697 | 2018-10-09 |
| 1609378801 | Express Anesthesia & Pain Management Consultants,pllc | Clinic/Center | 6609 W Sam Houston Pkwy S Ste 101, Houston, TX 77072-1641 | 2018-03-02 |
| 1902313588 | Bbg Cosmetic and Plastic Surgery | Clinic/Center | 5930 W Parker Rd Ste 600, Plano, TX 75093-6420 | 2018-01-04 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on GHASSAN N. FANOUS, M.D. PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.