Provider Demographics
NPI:1982269874
Name:MALIK, ANITA (DPT)
Entity Type:Individual
Prefix:
First Name:ANITA
Middle Name:
Last Name:MALIK
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7575 SAN FELIPE ST STE 125
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-1776
Mailing Address - Country:US
Mailing Address - Phone:713-270-5900
Mailing Address - Fax:713-270-5910
Practice Address - Street 1:7575 SAN FELIPE ST STE 125
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-1776
Practice Address - Country:US
Practice Address - Phone:713-270-5900
Practice Address - Fax:713-270-5910
Is Sole Proprietor?:No
Enumeration Date:2019-05-06
Last Update Date:2021-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13161322251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX398442902Medicaid
TX398442901Medicaid