Brady Mallory is a Southlake, Texas based male podiatrist who is specialized in Primary Podiatric Medicine. Active license number of Brady Mallory for Podiatric Foot & Ankle Surgery is SC006356 in Pennsylvania. Brady Mallory provides care, treatment and management of the diabetic, elderly and circulation-impaired. The diagnosis, intervention and treatment on time may save patients from amputation, restore mobility or prevent other serious, more costly problems. By early detection patients can get appropriate treatment and prevent more serious problems.
Complete Profile:
Brady Mallory speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist - Primary Podiatric Medicine
Credentials:
D.P.M.
Gender:
Male
Practice Address:
1940 East Hwy 114 Suite 150, Southlake, Texas, 76092
Phone:
817-424-3668
Fax:
817-442-8637
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1992069777
NPI Enumeration Date:
27 Jun, 2012
NPI Last Update On:
13 Dec, 2016
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Brady Mallory are as mentioned below.
License Number
Specialization
State
Status
SC006356
Podiatric Foot & Ankle Surgery
Pennsylvania
Primary
SC006356
Primary Podiatric Medicine
Pennsylvania
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Brady Mallory such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1932493574
Other
Texas
NPI
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1940 Hwy 114 Suite 150, Southlake, Texas
Zip:
76092
Phone Number:
817-424-3668
Fax Number:
817-442-8637
Patients can reach Brady Mallory at 1940 East Hwy 114 Suite 150, Southlake, Texas or can call to book an appointment on 817-424-3668. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.
Comments/ Reviews:
Similar Podiatrist in Southlake, TX
Dr. Greg Jack Amelung, DPM 23+ yr exp.Speciality: Podiatrist - Foot & Ankle Surgery Address: 1940 E Highway 114 Ste 150, TX Phone: 817-503-0009 Fax: 817-503-8909