Individual
GUEORGUI T MALTCHEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
316 ALYSE RD, ROANOKE, TX 76262-6158
(214) 227-2457
(214) 764-0880
Mailing address
3905 MELCER DR STE 601, ROWLETT, TX 75088-4033
(214) 227-2457
(214) 764-0880
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA05108
TX
Other
Enumeration date
02/08/2007
Last updated
03/07/2023
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