MS. ELLEN THERESE MALLOY


Address: 2922 Martin Luther King Jr Blvd, Building B, Dallas, TX 75215-2321
Phone: 2144263645

MS. ELLEN THERESE MALLOY (NPI# 1811094493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811094493
Entity Type Individual
Full Name MS. ELLEN THERESE MALLOY
Credential RN,NP
Practice Address 2922 Martin Luther King Jr Blvd
Building B
Dallas
TX 75215-2321
Mailing Address 3228 Darvany Dr
Dallas
TX 75220-1614
Practice Telephone 2144263645
Practice Fax Number 2144262231
Mailing Telephone 2143512356
Mailing Fax Number 2144262231
Enumeration Date 2006-09-17
Last Update Date 2007-07-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
435024 TX Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX RN LICENSE NUMBER 435024 01

Other Providers ELLEN MALLOY

NPI Name Taxonomy Address Enumeration
1003125477 Ellen Malloy Student in an Organized Health Care Education/Training Program 41 Pitney Ave, Staten Island, NY 10309-1916 2010-10-01
1033170048 Ellen Ann Malloy Specialist/Technologist 745 Washington St, Thayer Academy, Braintree, MA 02184-5751 2006-03-29

Office Location

Street Address 2922 MARTIN LUTHER KING JR BLVD
BUILDING B
City DALLAS
State TX
Zip Code 75215-2321

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467475582 James Yarmchuk Family Medicine 2922 Martin Luther King Jr Blvd, B, Dallas, TX 75215 2006-07-26
1609201821 Brittnee Siere Berry Case Manager/Care Coordinator 2922 Martin Luther King Jr Blvd, Building B, Dallas, TX 75215-2321 2013-09-06
1780823336 Humaa Majeed Bhatti Pediatrics 2922 Martin Luther King Jr Blvd, Building B, Dallas, TX 75215-2321 2009-02-05
1134366289 Martin Luther King Jr Family Clinic Pharmacy 2922 Martin Luther King Jr Blvd, B, Dallas, TX 75215-2321 2009-01-12
1265563837 Walter Barton Counselor 2922 Martin Luther King Jr Blvd, Dallas, TX 75215-2321 2007-03-08
1851492557 Martin Luther King Jr Family Clinic Clinic/Center 2922 Martin Luther King Jr Blvd, Building B, Dallas, TX 75215-2321 2006-09-26
1982702106 William Henry Glaze Sr. Specialist 2922 Martin Luther King Jr Blvd, Dallas, TX 75215-2321 2006-09-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184245201 Ursula Liliana Barrreto Behavior Technician 1999 Scott St, Suite 900, Dallas, TX 75215 2020-04-29
1811546278 Nereca Carol Jones Technician 5011 Colonial Avenue, Dallas, TX 75215 2019-09-09
1356826838 Sa Foundation for Humanity Inc Dentist 1100 S. Arkard Street, Suite 180, Dallas, TX 75215 2018-10-01
1043710049 Lawanda Shed Registered Nurse 2622 Hatcher St, Dallas, TX 75215 2018-02-15
1598205973 Royond Patrick-hendrix Psychologist 1409 S Lamar St Apt 307, Dallas, TX 75215 2017-03-03
1760830566 Medchiro Injury Rehab LLC Chiropractor 1619 Martin Luther King Jr Blvd, Dallas, TX 75215 2016-06-02
1245580315 Irfan Jadavji Family Medicine 2922-b Martin Luther King, Jr. Blvd, Dallas, TX 75215 2012-09-14
1982904165 Malcolm X Pediatric Clinic Clinic/Center 4432 Malcolm X Blvd., Dallas, TX 75215 2010-10-22
1750693669 Lyric Dion Day Registered Nurse 2922 Martin Luther King Jr Blvd #124, Dallas, TX 75215 2010-07-08
1477759272 Shang's Garden, Inc Assisted Living Facility 2617 Birmingham, Dallas, TX 75215 2007-06-27
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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457988461 Sarah Elizabeth Higgins Nurse Practitioner 8060 Park Ln, Dallas, TX 75231-5912 2020-03-27
1285284323 Barbara E Mauk Nurse Practitioner 13516 Waterfall Way, Dallas, TX 75240-5831 2019-09-19
1447720941 Rlj Visiting Housecalls LLC Nurse Practitioner 3603 Creek View Dr, Dallas, TX 75233-1709 2018-11-28
1396295051 Melody Lin Nurse Practitioner 7424 Greenville Ave Ste 206, Dallas, TX 75231-4534 2016-10-06
1467766055 Courtney Puff Sherman Nurse Practitioner 2701 Reagan St, Dallas, TX 75219-3403 2010-08-06
1437486297 Lydia Vincent Hathorn Nurse Practitioner 7012 Wakefield St, Dallas, TX 75231-7306 2009-11-14
1407912009 Annika J. Evans Nurse Practitioner 3600 Gaston Ave Ste 558, Dallas, TX 75246-1905 2006-12-28
1295735637 Paula V. Reid Nurse Practitioner 1936 Amelia Ct, Hiv-aids Clinic, Dallas, TX 75235-7711 2005-07-28
1255331534 Hoa L. Truong Nurse Practitioner 3320 Live Oak St Fl 5, East Dallas Women's Health Center, Dallas, TX 75204-6109 2005-07-28
1598765794 Joanne Lashmet Nurse Practitioner 6303 Harry Hines Blvd Ste 101, Maple Women's Health Center, Dallas, TX 75235-5228 2005-07-28
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Competitor

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City DALLAS
Zip Code 75215

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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