January Ivancic

NPI 1730868993 · on the registry since 2023

Practice

Address: 1205 N Oregon St
El Paso, TX 79902
Phone: (915) 533-4900
Organisation at this address: Nishaal Antony Pa
Suresh J Antony M D P A
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 363LF0000X
363LF0000X
Also registered as: 207RI0200X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2023-10-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas