Search › Texas › 213ES0103X
Brady Mallory, D.P.M
NPI 1992069777 · on the registry since 2012
Practice
- Address
- 1940 East Hwy 114 Suite 150
Southlake, TX 76092 - Phone
- (817) 424-3668
- Fax
- (817) 442-8637
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 213ES0103X
213ES0103X
- Also registered as
- 213EP1101X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-12-13
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