# ERNESTO MALAVE MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598027880
- **Authorized official:** ERNESTO MALAVE MD (OWNER)
- **Authorized official phone:** (254) 432-5735

## Contact information

- **Practice address:** 2301 S CLEAR CREEK RD, SUITE 108, KILLEEN, TX 76549-4143
- **Practice address phone:** (254) 432-5735
- **Practice address fax:** (254) 432-5737
- **Mailing address:** PO BOX 938, KILLEEN, TX 76540-0938
- **Mailing address phone:** (254) 634-6999
- **Mailing address fax:** (254) 200-4099

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | J7063 | TX | Yes |

## Other

- **Enumeration date:** 06/12/2012
- **Last updated:** 06/12/2012