Individual
DR. ADAM JOSEPH MAMELAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12319 N MOPAC EXPY, BLDG. C, STE. 100, AUSTIN, TX 78758-2403
(512) 837-3376
(512) 837-3377
Mailing address
12319 N MOPAC EXPY, BLDG. C, STE. 100, AUSTIN, TX 78758-2403
(512) 837-3376
(512) 837-3377
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
M6272
TX
207ND0101X
MOHS-Micrographic Surgery Physician
M6272
TX
Other
Enumeration date
02/08/2007
Last updated
10/09/2020
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