Individual
JOHN M MALAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M., PA
Contact information
Practice address
3480 FANNIN ST, STE D, BEAUMONT, TX 77701-3804
(409) 832-8800
(409) 832-6426
Mailing address
3480 FANNIN ST, STE D, BEAUMONT, TX 77701-3804
(409) 832-8800
(409) 832-6426
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
P1142
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127207201
—
TX
Enumeration date
08/26/2005
Last updated
02/21/2008
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