| Subodh K Mallik, Md, Pa | |
|
2071 N Main St Fort Stockton TX 79735-3041 | |
| (432) 336-0700 | |
| (432) 336-0704 |
| Full Name | Subodh K Mallik, Md, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 2071 N Main St, Fort Stockton, Texas |
| Authorized Official Name and Position | Subodh K Mallik (OWNER) |
| Authorized Official Contact | 4323360700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Subodh K Mallik, Md, Pa 2071 N Main St Fort Stockton TX 79735-3041 Ph: (432) 336-0700 | Subodh K Mallik, Md, Pa 2071 N Main St Fort Stockton TX 79735-3041 Ph: (432) 336-0700 |
| NPI Number | 1881787497 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 11/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881787497 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Pecos County Memorial Hospital District Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 511 N Main St, Fort Stockton, TX 79735 Phone: 432-336-2291 | |
Pecos County Memorial Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 387 West Ih 10, Fort Stockton, TX 79735 Phone: 432-336-2058 Fax: 844-824-3604 | |
Subodh K Mallik Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2071 N Main St, Fort Stockton, TX 79735 Phone: 432-336-0700 | |
Avanti Ayush Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 237 W 21st St, Fort Stockton, TX 79735 Phone: 432-336-0700 Fax: 432-336-0704 | |
Pecos County Memorial Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 387 W Ih 10, Fort Stockton, TX 79735 Phone: 432-336-2291 Fax: 844-824-3604 | |
Pecos County Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 387 Ih 10 W, Ste 1, Fort Stockton, TX 79735 Phone: 432-336-8365 Fax: 432-336-8392 | |
Pecos County Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 387 W Ih 10, Fort Stockton, TX 79735 Phone: 432-336-2058 Fax: 432-336-4511 |