Individual
FAIZAN AHMAD MALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 W 5TH ST, ODESSA, TX 79763-4206
(432) 703-5375
Mailing address
701 W 5TH ST, ODESSA, TX 79763-4206
(432) 703-5375
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
83434
WI
390200000X
Student in an Organized Health Care Education/Training Program
BP10065009
TX
Other
Enumeration date
06/20/2018
Last updated
07/24/2024
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