Individual
JEWELL E. MALICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
901 ROCKWALL PKWY, ROCKWALL, TX 75032-6502
(972) 772-3234
(972) 772-3834
Mailing address
107 RELIANCE CT, ROCKWALL, TX 75032-8415
(469) 698-0118
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
J0582
TX
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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