Dr. Didier-David Antoine Malis
Oral and Maxillofacial Pathology
6550 Fannin St 2237
Houston
, Texas 77030-2717
Dr. Didier-David Antoine Malis
Oral and Maxillofacial Pathology
6550 Fannin St 2237
Houston
, Texas 77030-2717
(713) 500-5484
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About
Features
Specialties
- Oral and Maxillofacial Pathology
Languages spoken
- English
Location
First Address
- Dr. Didier-David Antoine Malis
- Po Box 201088
- Houston, TX
- Zip : 77216-1088
- Fax : (713) 500-5484
- Phone : (713) 500-3500
Second Address
- Dr. Didier-David Antoine Malis
- 6550 Fannin St 2237
- Houston, TX
- Zip : 77030-2717
- Phone : (713) 790-4600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0106X | Oral and Maxillofacial Pathology | F22203 | TX |
National Provider Identifier
| NPI | 1245269422 |
|---|---|
| Provider Name | Dr. Didier-David Antoine Malis |
| First Address | Houston, TX 77216-1088 |
| Second Address | Houston, TX 77030-2717 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/07/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 89D390 | BCBS (01) | TX |
| V06702 | (02) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.