Subodh K Mallik MD PA
NPI #1477847234 in Fort Stockton, Texas
Provider Information
- NPI Number
- 1477847234
- Entity Type
- Organization
- Organization Name
- Subodh K Mallik MD PA
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- Jun 8, 2011
- Last Updated
- Jun 8, 2011
Practice Location
- Address
- 2071 N MAIN ST
- City
- Fort Stockton
- State
- Texas
- ZIP Code
- 79735-3041
- Phone
- (432) 336-0700
Authorized Official
- Name
- DR. SUBODH MALLIK
- Title
- DR./OWNER
- Phone
- (432) 336-0700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rural Health — Rural Health |
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