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Subodh K Mallik Md Pa
Rural Health Clinic/Center in Fort Stockton, Texas
NPI 1477847234

Subodh K Mallik Md Pa is a Rural Health Clinic/Center based in Fort Stockton, TX and is specialized in Rural Health. Subodh K Mallik Md Pa practices in Fort Stockton, TX. The NPI Number for Subodh K Mallik Md Pa is 1477847234 and holds a License No. (Texas).

The current practice location address for Subodh K Mallik Md Pa is 2071 N Main St, Fort Stockton, TX and can be reached out via phone at 432-336-0700.

Location: 2071 N Main St, Fort Stockton, TX, 79735-3041
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1477847234
Provider Name
Subodh K Mallik Md Pa
Credential
Provider Entity Type
Organization
Address
2071 N Main St, Fort Stockton, TX, 79735-3041
Phone Number
432-336-0700
Fax Number
Provider Enumeration Date
06/08/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2071 N Main St
City
Fort Stockton
State
Texas
Zip
79735-3041
Phone Number
432-336-0700
Fax Number
person
Provider Business Mailing Address Details
Address
2071 N Main St
City
Fort Stockton
State
Texas
Zip
79735-3041
Phone Number
432-336-0700
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
261QR1300X
License No.
()
Definition
Definition to come...
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