Caroline Grace Fanous, PA-C

NPI #1497581839 in Burleson, Texas

Provider Information

NPI Number: 1497581839
Entity Type: Individual
Name: Caroline Grace Fanous, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Sep 11, 2024
Last Updated: Nov 22, 2024

Practice Location

Address: 2730 SW WILSHIRE BLVD
City: Burleson
State: Texas
ZIP Code: 76028-8338
Phone: (817) 916-5180

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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