Mallams, David J

Mallams, David J is an individual health care provider with primary practice located at 5615 Deauville Blvd Ste 220, Midland TX 79706. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Mallams, David J can be contacted via phone (432) 686-0321.

Contact Information

Primary practice address
5615 Deauville Blvd Ste 220 Midland TX 79706
Phone: (432) 686-0321
Fax: (432) 686-0664
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X F7830 Texas

Profile Details

NPI number 1528013786
LBN Legal business name Mallams, David J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Sep 2nd, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528013786 NPPES
Texas Other 00MC01 BCBS
Texas Other 118420100 BCBS
Texas Other MDF7830TX BCBS
Texas MEDICAID 089530202 BCBS
Texas Other 751700956 BCBS

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