Individual
MS. ELLEN THERESE MALLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,NP
Contact information
Practice address
2922 MARTIN LUTHER KING JR BLVD, BUILDING B, DALLAS, TX 75215-2321
(214) 426-3645
(214) 426-2231
Mailing address
3228 DARVANY DR, DALLAS, TX 75220-1614
(214) 351-2356
(214) 426-2231
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
435024
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
435024
RN LICENSE NUMBER
TX
Enumeration date
09/17/2006
Last updated
07/09/2007
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