SearchTexas104100000X

Mallory Funk, MSW

NPI 1164153748 · on the registry since 2022 · sole proprietor

Practice

Address
1109 E Sam Houston Blvd
Pharr, TX 78577
Phone
(801) 710-9988

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-06-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas