Organization
ERNESTO MALAVE MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERNESTO MALAVE MD (OWNER)
(254) 432-5735
Entity
Organization
Contact information
Practice address
2301 S CLEAR CREEK RD, SUITE 108, KILLEEN, TX 76549-4143
(254) 432-5735
(254) 432-5737
Mailing address
PO BOX 938, KILLEEN, TX 76540-0938
(254) 634-6999
(254) 200-4099
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J7063
TX
Other
Enumeration date
06/12/2012
Last updated
06/12/2012
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