Organization
KENNETH LESTER MALAMUD MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH LESTER MALAMUD M.D. (PRESIDENT)
(512) 715-3937
Entity
Organization
Contact information
Practice address
1001 BUCHANAN DR, SUITE 3, BURNET, TX 78611-2323
(512) 715-3937
(512) 715-3938
Mailing address
1001 BUCHANAN DR, SUITE 3, BURNET, TX 78611-2323
(512) 715-3937
(512) 715-3938
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G1707
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G1707
LICENSE
TX
Enumeration date
07/28/2009
Last updated
11/24/2010
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