NPI age
14 years
Enumerated 2011-06-08
● Active Type 2 · Organization
Subodh K Mallik MD PA
Subodh K Mallik MD PA is 1 of 689 clinic/center organizations in Texas.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Mallik
Dr./owner
Last NPPES update
2011-06-08
Source: monthly bulk 2026-05
How this organization compares
Across 689 active clinic/center providers in Texas.
NPI age
14 years
≈ at median (14 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2011 → 2026
2011-06Enumerated in NPPES
2011
2026
Where they practice
Primary practice location
2071 N Main St
Fort Stockton, TX 797353041
Mailing address
2071 N Main St
Fort Stockton, TX 797353041
Authorized official
Subodh Mallik
Dr./owner
📞 4323360700
Specialties
-
Clinic/Center PrimaryDefinition to come...
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.