Robert J Mamlok
LBN: Robert J Mamlok
Robert J Mamlok is an health care organization with primary practice located at 5424 19Th St Suite #300, Lubbock TX 79407-2162. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is the primary health care specialty.
Robert J Mamlok can be contacted via phone (806) 795-4391, or through Mamlok, Robert Jerry via phone (806) 795-4391.
Contact Information
Primary practice address
5424 19Th St Suite #300
Lubbock TX 79407-2162
Phone: (806) 795-4391
Fax: (806) 796-1354
Website:
Authorized official contact:
Name: Mamlok, Robert Jerry Doctor of Medicine (MD)
Phone: (806) 795-4391
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | H0596 | Texas |
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | H0596 | Texas |
Profile Details
| NPI number | 1467599613 |
|---|---|
| LBN Legal business name | Robert J Mamlok |
| DBA Doing business as | |
| Authorized official | Mamlok, Robert Jerry Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 30th, 2007 |
| Last updated | Jun 21st, 2010 - about 14 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467599613 | NPPES |
| Texas | MEDICAID | 123013801 |
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