Organization
ADVANCED FERTILITY CENTERS,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RIZWAN MALIK (MEMBER)
(812) 201-6368
Entity
Organization
Contact information
Practice address
605 E 4TH ST, ODESSA, TX 79761-5100
(812) 201-6368
Mailing address
605 E 4TH ST, ODESSA, TX 79761-5100
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
Q0311
TX
Other
Enumeration date
08/06/2014
Last updated
08/06/2014
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