MALLORY CLARK

TEMPLE, TX
NPI1659750545
Former NameMALLORY ROHALD
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: TX  R6166)
Additional Taxonomies208M00000X Hospitalist
(Licence: TX  R6166)
Enumeration Date2015-05-25
Last Update Date2021-09-13
Business Address
MALLORY CLARK D.O.
2401 S 31ST ST
TEMPLE, TX 76508
Phone number: 254-724-2111
Mailing Address
MALLORY CLARK D.O.
PO BOX 844658
DALLAS, TX 75284-4658
Phone number: 254-724-2111