Individual
DR. DAVID J MALLAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5615 DEAUVILLE BLVD, STE 220, MIDLAND, TX 79706
(432) 686-0321
(432) 686-0664
Mailing address
PO BOX 5556, MIDLAND, TX 79704-5556
(432) 686-0321
(432) 686-0664
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
F7830
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00MC01
BCBS
TX
05
—
089530202
—
TX
01
—
118420100
FIRST CARE
TX
01
—
751700956
MISC INS
TX
01
—
MDF7830TX
WORKERS COMP
TX
Enumeration date
05/24/2006
Last updated
09/02/2016
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