GHASSAN N. FANOUS, M.D. PA
NPI 1629262787
Clinic/Center - Medical Specialty in Odessa, TX

Q: What is Ghassan N. Fanous, M.D. PA's NPI number?

The NPI number for Ghassan N. Fanous, M.D. PA is 1629262787. It was assigned to this organization in the NPPES registry on August 31, 2007.

Q: What is Ghassan N. Fanous, M.D. PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Active since August 31, 2007

540 W 5TH ST, SUITE 420, ODESSA, TX 79761(432) 582-2280(432) 331-9981 Get Directions Write a Review

NPPES record last updated: March 24, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ghassan N. Fanous, M.d. Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GHASSAN N. FANOUS, M.D. PA (NPI 1629262787) is a healthcare organization registered as a medical specialty in Odessa, Texas and active in the NPI registry since August 2007. The organization lists Kristi A Martinez, Office Coordinator, as its authorized official.

NPPES Registry Identity

NPI1629262787

Entity TypeOrganization

Primary Taxonomy261QM2500X

Legal Business NameGHASSAN N. FANOUS, M.D. PA

Location Address540 W 5TH ST, SUITE 420Odessa, TX 79761-5034

Mailing Address540 W 5th St, Suite 420Odessa, TX 79761-5034 · (432) 582-2280 · Fax (432) 331-9981

Phone(432) 582-2280

Fax(432) 331-9981

Organization SubpartNo

Authorized OfficialKristi A MartinezOffice Coordinator · (432) 582-2280

Enumeration DateAugust 31, 2007

Last NPPES UpdateMarch 24, 2008

✔ NPI 1629262787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM2500X

License✔ Licensed in TX · J3306

Definition

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).

540 W 5TH ST, Odessa, TX 79761

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Other Identifiers 1

Medicare PIN00603UTX

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GHASSAN N FANOUS M.D.

Obstetrics & Gynecology

540 W 5TH ST, SUITE 420
ODESSA, TX 79761

Ector County (432) 582-2280

AUDIOLOGY CONSULTANTS, INC.

Audiologist-Hearing Aid Fitter

540 W 5TH ST, SUITE 405
ODESSA, TX 79761

Ector County (432) 333-8870

EILEEN LI MD PA

Pediatrics

540 W 5TH ST, SUITE 360
ODESSA, TX 79761

Ector County (432) 332-7337

JAMES Y LI MD PA

Surgery (Vascular Surgery)

540 W 5TH ST, SUITE #360
ODESSA, TX 79761

Ector County (432) 332-9263

STACEY RENE LUJAN

Pharmacy Technician

540 W 5TH ST
ODESSA, TX 79761

Ector County (432) 332-1623

EDUARDO SALCEDO M.D.

Preventive Medicine (Undersea and Hyperbaric Medicine)

540 W 5TH ST, SUITE 300
ODESSA, TX 79761

Ector County (432) 640-3007

DONNA MARIE JOHNSON RNC, FNP-C

Nurse Practitioner (Family)

540 W 5TH ST, SUITE 470
ODESSA, TX 79761

Ector County (432) 580-8330

JOSUE RAYGOSA PHARM D.

Pharmacist

540 W 5TH ST
ODESSA, TX 79761

Ector County (432) 332-1623

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ghassan N. Fanous, M.D. PA's NPI number?

The NPI number for Ghassan N. Fanous, M.D. PA is 1629262787. It was assigned to this organization in the NPPES registry on August 31, 2007.

Where is Ghassan N. Fanous, M.D. PA located?

Ghassan N. Fanous, M.D. PA is located at 540 W 5th St Suite 420, Odessa, TX 79761. The listed phone number is (432) 582-2280.

What is Ghassan N. Fanous, M.D. PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Ghassan N. Fanous, M.D. PA was last updated on March 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.