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Organization
SUBODH K MALLIK, MD, PA
Active
Organization
SUBODH K MALLIK, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUBODH K MALLIK MD (OWNER)
(432) 336-0700
Entity
Organization
Contact information
Practice address
2071 N MAIN ST, FORT STOCKTON, TX 79735-3041
(432) 336-0700
(432) 336-0704
Mailing address
2071 N MAIN ST, FORT STOCKTON, TX 79735-3041
(432) 336-0700
(432) 336-0704
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/02/2006
Last updated
11/14/2011
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