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Organization
ROBERT J MAMLOK
Active
Organization
ROBERT J MAMLOK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT JERRY MAMLOK M.D. (OWNER)
(806) 795-4391
Entity
Organization
Contact information
Practice address
5424 19TH ST, SUITE #300, LUBBOCK, TX 79407-2162
(806) 795-4391
(806) 796-1354
Mailing address
5424 19TH ST, SUITE #300, LUBBOCK, TX 79407-2162
(806) 795-4391
(806) 796-1354
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
H0596
TX
207K00000X
Allergy & Immunology Physician
Primary
H0596
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123013801
—
TX
Enumeration date
01/30/2007
Last updated
06/21/2010
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