Individual
MR. ROBERT J MAMLOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5424 19TH STREET, SUITE #300, LUBBOCK, TX 79407-2164
(806) 795-4391
(806) 796-1354
Mailing address
5424 19TH STREET, SUITE #300, LUBBOCK, TX 79407-2164
(806) 795-4391
(806) 796-1354
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
H0596
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123013805
—
TX
Enumeration date
04/05/2006
Last updated
09/01/2011
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