Avanti-Ayush,llc
NPI #1093043275 in Fort Stockton, Texas
Provider Information
- NPI Number
- 1093043275
- Entity Type
- Organization
- Organization Name
- Avanti-Ayush,llc
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Nov 25, 2009
- Last Updated
- Nov 25, 2009
Practice Location
- Address
- 237 WEST 21ST STREED
- City
- Fort Stockton
- State
- Texas
- ZIP Code
- 79735
- Phone
- (432) 336-6922
Authorized Official
- Name
- DR. SUBBATH MALLIK, M.D.
- Title
- MANAGER OF LLC
- Phone
- (432) 336-0700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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