Organization
MARYRITA KAISER MALLET,MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYRITA KAISER MALLET MD PA (PRESIDENT)
(817) 613-1942
Entity
Organization
Contact information
Practice address
116 SANTA FE DR, WEATHERFORD, TX 76086-6548
(817) 613-1942
(817) 341-3882
Mailing address
PO BOX 1976, WEATHERFORD, TX 76086-7976
(817) 613-1942
(817) 341-3882
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
J4322
TX
Other
Enumeration date
02/07/2008
Last updated
04/27/2012
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