# NISHAAL ANTONY PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093395139
- **Authorized official:** DR. NISHAAL ANTONY MD (PRESIDENT)
- **Authorized official phone:** (915) 533-4900

## Contact information

- **Practice address:** 1205 N OREGON ST, EL PASO, TX 79902
- **Practice address phone:** (915) 526-6968
- **Mailing address:** 1205 N OREGON ST, EL PASO, TX 79902
- **Mailing address phone:** (915) 526-6968

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RI0200X | Infectious Disease Physician | — | NULL | Yes |
| 207RI0200X | Infectious Disease Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/13/2021
- **Last updated:** 09/18/2022