Individual
DR. SURESH J ANTONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1205 N OREGON ST, EL PASO, TX 79902-4023
(915) 533-4900
(915) 533-4902
Mailing address
1205 N OREGON ST, EL PASO, TX 79902-4023
(915) 533-4900
(915) 533-4902
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
K0610
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101588505
—
TX
Enumeration date
06/01/2006
Last updated
09/06/2024
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