Malis, Didier-David Antoine

Malis, Didier-David Antoine is an individual health care provider with primary practice located at 6550 Fannin St 2237, Houston TX 77030-2717. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Pathology, which is considered as his primary health care specialty. Malis, Didier-David Antoine can be contacted via phone (713) 790-4600.

Contact Information

Primary practice address
6550 Fannin St 2237 Houston TX 77030-2717
Phone: (713) 790-4600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X F22203 Texas

Profile Details

NPI number 1245269422
LBN Legal business name Malis, Didier-David Antoine
Credentials D.M.D., M.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245269422 NPPES
Texas Other 89D390 BCBS

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