Individual
BRANDY MICHELLE GALLIEN MALBROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 857-3450
Mailing address
4300 LAVACA DR, PLANO, TX 75074-3555
(504) 610-6956
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
M8659
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP1-0026077
INSTITUTIONAL PERMIT
—
Enumeration date
06/12/2007
Last updated
04/21/2021
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