Organization Active NPI

Elias Ghandour, MD, PA

  • Specialist
  • Lubbock, TX
National Provider Identifier
1629168562
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
H4930 Issued in TX
Legal business name
ELIAS GHANDOUR, MD, PA
Practice address
3814 22ND PL
Lubbock, TX 79410-1118
Phone
(806) 795-4500
Fax
(806) 795-4792
NPI assigned
Oct 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tammy L McAuley
Title
Office Manager
Phone
(806) 795-4500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X H4930 TX Primary

Addresses

Primary practice location

3814 22ND PL
Lubbock, TX 79410-1118

Mailing address

3814 22ND PL
Lubbock, TX 79410-1118
Phone (806) 795-4500

National Provider Directory

National Provider Directory

Locations

3814 22nd Pl
Lubbock, TX 79410
Phone (806) 795-4500

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629168562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3814 22ND PL",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101118",
            "telephone_number": "806-795-4500",
            "fax_number": "806-795-4792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3814 22ND PL",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101118",
            "telephone_number": "806-795-4500",
            "fax_number": "806-795-4792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIAS GHANDOUR, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCAULEY",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "806-795-4500"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "H4930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.