AVANTI AYUSH
Osteopathic Medicine at 21 St, Fort Stockton, TX

License number
Texas K4945
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: DR. SUBODHU MALLIK MD
Title: MEDICAL DIRECTOR
Phone: (432) 336-0700
Address
Address
237 W 21St St, Fort Stockton, TX 79735
National Provider ID: 1528337847
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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