Organization
SUBODH K MALLIK MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUBODH MALLIK (DR./OWNER)
(432) 336-0700
Entity
Organization
Contact information
Practice address
2071 N MAIN ST, FORT STOCKTON, TX 79735-3041
(432) 336-0700
Mailing address
2071 N MAIN ST, FORT STOCKTON, TX 79735-3041
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/08/2011
Last updated
06/08/2011
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