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Organization
OB-GYN PLACE, A PROFESSIONAL ASSOCIATION
Active
Organization
OB-GYN PLACE, A PROFESSIONAL ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEWELL E. MALICK D.O. (PRESIDENT)
(972) 772-3234
Entity
Organization
Contact information
Practice address
901 ROCKWALL PKWY, ROCKWALL, TX 75032-6502
(972) 772-3234
(972) 772-3834
Mailing address
901 ROCKWALL PKWY, ROCKWALL, TX 75032-6502
(972) 772-3234
(972) 772-3834
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
11/01/2006
Last updated
10/11/2011
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