Individual
BRANDON MICHAEL O'MALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
6037 HARRIS PKWY, FORT WORTH, TX 76132-4103
(817) 370-9891
(817) 370-9891
Mailing address
6501 HARRIS PKWY, FORT WORTH, TX 76132-6102
(817) 370-9891
(817) 370-9894
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1219960
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
360647701
—
TX
01
—
878T91
BCBS
TX
Enumeration date
07/30/2012
Last updated
01/17/2020
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