# IVANA ENTERPRISES, INC

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

## Provider details

- **NPI number:** 1306396031
- **Authorized official:** DR. IVAN G MELENDEZ MD (OWNER)
- **Authorized official phone:** (956) 212-0902

## Contact information

- **Practice address:** 1018 BEECH AVE STE 100, MCALLEN, TX 78501
- **Practice address phone:** (956) 800-5171
- **Practice address fax:** (956) 800-5178
- **Mailing address:** 1018 BEECH AVE STE 100, MCALLEN, TX 78501-4547
- **Mailing address phone:** (956) 800-5171
- **Mailing address fax:** (956) 800-5178

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | H5188 | TX | — |
| 207Q00000X | Family Medicine Physician | H5188 | TX | Yes |

## Other

- **Enumeration date:** 10/05/2016
- **Last updated:** 05/17/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00P1Z0 | BCBS | — |
| 05 | — | 364593901 | — | TX |
| 01 | — | 538967 | MEDICARE | TX |
| 01 | — | DX2502 | RR MEDICARE | TX |