Individual
CENAN M. ANTOWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4801 ALBERTA AVE., EL PASO, TX 79905
(915) 454-6817
(915) 545-9799
Mailing address
PO BOX 9520, EL PASO, TX 79995-9520
(915) 545-9795
(915) 545-9799
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
M2249
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
174733901
—
TX
01
—
8H0435
BC/BS OF TEXAS
TX
01
—
T0142447
DPS
TX
Enumeration date
08/24/2006
Last updated
03/07/2023
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