| Doctor Name: | ALLAN G. KALICH |
| NPI Number: | 1053594820 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | E6817 |
| Business Practice Address: | 1838 Ridgeview St Mesquite, TX - 751491515 |
| Business Phone Number: | 9722884810 |
| Business Fax Number: | |
| Mailing Address: | 1838 Ridgeview St, MESQUITE |
| State: | TX |
| Postal Code: | 751491515 |
| Phone Number: | 9722884810 |
| Fax Number: | |
| NPI Enumeration Date: | 12/14/2007 |
| NPI Last Update Date: | 02/16/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | E6817 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |