Individual
DR. BRIAN L MALLORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3601 4TH ST STOP 6207, LUBBOCK, TX 79430-6207
(806) 743-2757
Mailing address
3601 4TH ST STOP 6207, LUBBOCK, TX 79430-6207
(806) 743-2757
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
V3904
TX
Other
Enumeration date
05/29/2020
Last updated
11/21/2024
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