Basic Information
Provider Information
NPI: 1255834040
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AROUS
FirstName: FABIEN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7211 PRESTON RD STE 1200
Address2:  
City: PLANO
State: TX
PostalCode: 750240238
CountryCode: US
TelephoneNumber: 4693033000
FaxNumber: 4693034510
Practice Location
Address1: 7211 PRESTON RD STE 1200
Address2:  
City: PLANO
State: TX
PostalCode: 750240238
CountryCode: US
TelephoneNumber: 4693033000
FaxNumber: 4693034510
Other Information
ProviderEnumerationDate: 03/17/2018
LastUpdateDate: 09/08/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/08/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RS0010XT9631TXY Allopathic & Osteopathic PhysiciansInternal MedicineSports Medicine

No ID Information.


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