| Brady Mallory, DPM | |
|
1940 East Hwy 114 Suite 150, Southlake, TX 76092 | |
| (817) 424-3668 | |
| (817) 442-8637 |
| Full Name | Brady Mallory |
|---|---|
| Gender | Male |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 1940 East Hwy 114 Suite 150, Southlake, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992069777 | NPI | - | NPPES |
| 1932493574 | Other | TX | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213EP1101X | Podiatrist - Primary Podiatric Medicine | SC006356 (Pennsylvania) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | SC006356 (Pennsylvania) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Brady Mallory, DPM 1940 Hwy 114 Suite 150, Southlake, TX 76092 Ph: (817) 424-3668 | Brady Mallory, DPM 1940 East Hwy 114 Suite 150, Southlake, TX 76092 Ph: (817) 424-3668 |
Academy Foot & Ankle Specialists Podiatrist Medicare: Medicare Enrolled Practice Location: 1940 Highway 114, Ste 150, Southlake, TX 76092 Phone: 817-424-3668 Fax: 817-442-8637 | |
Dr. Greg Jack Amelung, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1940 E Highway 114 Ste 150, Southlake, TX 76092 Phone: 817-503-0009 Fax: 817-503-8909 | |
Paul Thomas Marciano, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1940 E State Highway 114, Suite 150, Southlake, TX 76092 Phone: 817-424-3668 Fax: 817-442-8637 | |
Charleen Marie Handzel, D.P.M Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1422 Main St, Suite 249, Southlake, TX 76092 Phone: 817-329-0013 Fax: 817-410-1412 | |
Southlake Family Foot Center Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1422 Main St, Ste 249, Southlake, TX 76092 Phone: 817-329-0013 Fax: 817-410-1412 | |
Dorian Louis Jimenez, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1940 Hwy 114 Suite 150, Southlake, TX 76092 Phone: 817-424-3668 Fax: 817-442-8637 |