Subodh K Mallik, Md, PA
NPI #1881787497 in Fort Stockton, Texas
Provider Information
- NPI Number
- 1881787497
- Entity Type
- Organization
- Organization Name
- Subodh K Mallik, Md, PA
- Primary Specialty
- Family Medicine
- Enumeration Date
- Oct 2, 2006
- Last Updated
- Nov 14, 2011
Practice Location
- Address
- 2071 N MAIN ST
- City
- Fort Stockton
- State
- Texas
- ZIP Code
- 79735-3041
- Phone
- (432) 336-0700
Authorized Official
- Name
- SUBODH K MALLIK, MD
- Title
- OWNER
- Phone
- (432) 336-0700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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