# SOUTHWEST EYE CLINIC, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225083512
- **Authorized official:** DR. DAVID B MALLORY M.D. (CEO/MANAGER)
- **Authorized official phone:** (405) 631-1527

## Contact information

- **Practice address:** 1240 SW 44TH ST, OKLAHOMA CITY, OK 73109-3604
- **Practice address phone:** (405) 631-1527
- **Practice address fax:** (405) 631-9930
- **Mailing address:** 2708 SW 125TH ST, OKLAHOMA CITY, OK 73170-4759
- **Mailing address phone:** (405) 378-0724

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 18441 | OK | Yes |

## Other

- **Enumeration date:** 05/24/2006
- **Last updated:** 08/22/2020