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Organization
WONDERMED OF TEXAS, P.A.
Active
Organization
WONDERMED OF TEXAS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABRAHAM MALKIN MD (PRESIDENT)
(786) 269-5501
Entity
Organization
Contact information
Practice address
828 CRESTMOORE PL, VENICE, CA 90291-4931
(424) 410-8475
Mailing address
701 TILLERY ST STE 12, AUSTIN, TX 78702-3751
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
12/16/2022
Last updated
12/16/2022
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