Individual
WILLIAM MALLOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-4000
Mailing address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
L9336
TX
208M00000X
Hospitalist Physician
Primary
L9336
TX
Other
Enumeration date
09/20/2006
Last updated
11/11/2024
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