Provider Demographics
NPI:1972219350
Name:DABABNEH, FOUAD AWNI (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:FOUAD
Middle Name:AWNI
Last Name:DABABNEH
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 RITCHIE RD APT 324
Mailing Address - Street 2:
Mailing Address - City:HEWITT
Mailing Address - State:TX
Mailing Address - Zip Code:76643-4308
Mailing Address - Country:US
Mailing Address - Phone:254-366-8022
Mailing Address - Fax:
Practice Address - Street 1:9001 WOODWAY DR
Practice Address - Street 2:
Practice Address - City:WOODWAY
Practice Address - State:TX
Practice Address - Zip Code:76712-3635
Practice Address - Country:US
Practice Address - Phone:254-776-4763
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-27
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX71930183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist