Organization
BIR HOSPITAL LLC
Active
Organization
BIR HOSPITAL LLC
Active
Other names
ROAD RUNNER ADULT DAY CARE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUBODH KUMAR MALLIK MD (DIRECTOR)
(432) 290-2510
Entity
Organization
Contact information
Practice address
800 E DICKINSON BLVD, FORT STOCKTON, TX 79735-4318
(432) 336-9711
Mailing address
800 E DICKINSON BLVD, FORT STOCKTON, TX 79735-4318
(432) 336-9711
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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