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Organization
VEJOVIS HEALTH
Active
Organization
VEJOVIS HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAMMEN MALIAKKAL MD (OWNER)
(512) 761-0125
Entity
Organization
Contact information
Practice address
200 MEMORIAL DR, LULING, TX 78648-3213
(512) 761-0125
Mailing address
7301 RANCH RD 620 N, STE. 155 293, AUSTIN, TX 78726-4539
(512) 761-0125
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
N7455
TX
Other
Enumeration date
09/26/2011
Last updated
11/03/2011
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