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Individual

GEORGE MALLORY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6701 FANNIN ST, HOUSTON, TX 77030-2316
(832) 822-3555
(832) 825-3308
Mailing address
6701 FANNIN ST, HOUSTON, TX 77030-2316
(832) 822-3555
(832) 825-3308

Taxonomy

Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
L3386
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
146313501
TX
Enumeration date
10/17/2006
Last updated
09/29/2008
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