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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRADY MALLORY, D.P.M.

Active

BRADY MALLORY, D.P.M. is a Foot & Ankle Surgery Podiatrist healthcare provider located in SOUTHLAKE, Texas. NPI 1992069777 is currently active in the NPPES registry. Verify at CMS.

Foot & Ankle Surgery Podiatrist · SOUTHLAKE, TX

Registration Details

NPI Number
1992069777
Provider Type
Individual
Gender
Male
NPI Issued
Jun 27, 2012 (14.173656262378 yrs)
Last Updated
Dec 13, 2016
Licenses
SC006356 (PA)
SC006356 (PA)

Practice Information

Address
1940 EAST HWY 114 SUITE 150
SOUTHLAKE, TX, 76092
Browse TX providers · Browse ZIP 76092
Phone
8174243668
Fax
8174428637
Primary Specialty
Foot & Ankle Surgery Podiatrist
213ES0103X

Other Foot & Ankle Surgery Podiatrist Providers in SOUTHLAKE, TX

Name Credential NPI
CHARLEEN MARIE HANDZEL D.P.M 1881695278
DR. PAUL ANDREW STEINKE D.P.M. 1578709648
DR. MICHAEL WAYNE DOWNEY D.P.M. 1932467396
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.