# SURESH J ANTONY M D P A

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1902947724
- **Authorized official:** SURESH J ANTONY MD (PRESIDENT)
- **Authorized official phone:** (915) 525-1138

## Contact information

- **Practice address:** 1205 N OREGON ST, EL PASO, TX 79902-4023
- **Practice address phone:** (915) 533-4900
- **Practice address fax:** (915) 533-4902
- **Mailing address:** 1205 N OREGON ST, EL PASO, TX 79902-4023
- **Mailing address phone:** (915) 533-4900
- **Mailing address fax:** (915) 533-4902

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | K0610 | TX | — |
| 207RI0200X | Infectious Disease Physician | K0610 | TX | Yes |

## Other

- **Enumeration date:** 02/12/2007
- **Last updated:** 09/03/2013