Individual
DR. DIDIER-DAVID ANTOINE MALIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.D.
Contact information
Practice address
6550 FANNIN ST, 2237, HOUSTON, TX 77030-2717
(713) 790-4600
Mailing address
PO BOX 201088, HOUSTON, TX 77216-1088
(713) 500-3500
(713) 500-5484
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
F22203
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
89D390
BCBS
TX
Enumeration date
07/01/2006
Last updated
07/08/2007
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