Individual
MRS. MALLORY L HEATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4141 S STAPLES ST STE 300, CORPUS CHRISTI, TX 78411-0002
(361) 882-5560
(361) 882-6011
Mailing address
4141 S STAPLES ST STE 300, CORPUS CHRISTI, TX 78411-0002
(361) 882-5560
(361) 882-6011
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA06890
TX
Other
Enumeration date
07/14/2011
Last updated
05/16/2017
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