Tariq S Malik, PA

NPI #1912997602 in Longview, Texas

Provider Information

NPI Number: 1912997602
Entity Type: Individual
Name: Tariq S Malik, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Oct 25, 2005
Last Updated: Jan 13, 2014

Practice Location

Address: 700 E MARSHALL AVE
City: Longview
State: Texas
ZIP Code: 75601-5580
Phone: (903) 315-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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