# ADNAN MALLICK MD PA

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

## Provider details

- **NPI number:** 1891544425
- **Authorized official:** ADNAN M MALLICK MD (PRESIDENT/PHYSICIAN)
- **Authorized official phone:** (305) 793-6276

## Contact information

- **Practice address:** 18802 UNIVERSITY BLVD STE 117, SUGAR LAND, TX 77479-6849
- **Practice address phone:** (281) 201-6282
- **Practice address fax:** (832) 699-3377
- **Mailing address:** 8607 PRAIRIE MANOR DR, RICHMOND, TX 77406-1995

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207RG0300X | Geriatric Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RG0300X | Geriatric Medicine (Internal Medicine) Physician | — | — | — |

## Other

- **Enumeration date:** 05/15/2024
- **Last updated:** 05/15/2024