Active NPI
Yasmin Melissa Malik, M.D.
- Internal Medicine Physician
- River Oaks, TX
National Provider Identifier
1922348606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- L1653
- Practice address
- 4819 River Oaks Blvd
River Oaks, TX 76114-3098 - Phone
- (817) 626-9744
- Fax
- (817) 626-9962
- NPI assigned
- Feb 18, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | L1653 | TX | Primary |
Addresses
Primary practice location
4819 River Oaks Blvd
River Oaks, TX 76114-3098
Mailing address
1904 Canterbury Dr
Fort Worth, TX 76107-3514
Phone (817) 707-8703
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L1653 | TX | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361145600000",
"number": "1922348606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1904 CANTERBURY DR",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761073514",
"telephone_number": "817-707-8703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4819 RIVER OAKS BLVD",
"city": "RIVER OAKS",
"state": "TX",
"postal_code": "761143098",
"telephone_number": "817-626-9744",
"fax_number": "817-626-9962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALIK",
"first_name": "YASMIN",
"middle_name": "MELISSA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-18",
"last_updated": "2013-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "L1653",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in River Oaks, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.