Organization
TAYYAB MALIK PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAYYAB HUSSAIN MALIK M.D. (PRESIDENT)
(810) 813-5396
Entity
Organization
Contact information
Practice address
9440 POPPY DR, DALLAS, TX 75218-3652
(214) 324-6562
Mailing address
9440 POPPY DR, DALLAS, TX 75218-3652
(214) 324-6630
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
N9258
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000574737
ANTHEM BCBS
KY
Enumeration date
03/03/2015
Last updated
03/03/2015
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