DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MALLORY NEBERGALL M.D.

MEDICARE: MALLORY NEBERGALL M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianMD469326PA
2207L00000XAnesthesiology PhysicianWO681TX
3390200000XStudent in an Organized Health Care Education/Training Program
4207L00000XAnesthesiology PhysicianME157621FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700230075
Entity Type Code : Individual
Provider Name (Legal Business Name) : MALLORY NEBERGALL M.D.
Provider Business Mailing Address
First Line : PO BOX 840853
Second Line :
City : DALLAS
State : TX
Zip : 75284-0853
Country : US
Telephone Number : 972-233-1999
Fax Number : 972-233-3666
Provider Business Practice Location Address
First Line : 12222 MERIT DR STE 600
Second Line :
City : DALLAS
State : TX
Zip : 75251-3294
Country : US
Telephone Number : 972-715-5000
Fax Number : 975-715-9976
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2016
Last Update Date : 05/20/2026

Similar Medicare Providers

1538097662 — REBECCA MARIE DOWDICAN CRNA
Practice Location Address:
12222 MERIT DR STE 600
DALLAS, TX
75251-3294
Practice Phone: 972-715-5000
Practice Fax: 972-715-9976
1891440012 — MS. CHRISTINE ELIZABETH BERGESCH CRNA
Practice Location Address:
12222 MERIT DR STE 600
DALLAS, TX
75251-3294
Practice Phone: 972-715-5000
Practice Fax: 972-715-9976
1316884604 — ANDREW LUKE EWING CAA
Practice Location Address:
12222 MERIT DR STE 600
DALLAS, TX
75251-3294
Practice Phone: 972-715-5000
Practice Fax: 972-715-9976
1245677145 — DR. STEFAN PHILIP GILTHORPE M.D.
Practice Location Address:
12222 MERIT DR STE 600
DALLAS, TX
75251-3294
Practice Phone: 972-715-5000
Practice Fax: 972-715-9976
1033046966 — LINETTE NATALIA ZAPATA RN
Practice Location Address:
12222 MERIT DR STE 600
DALLAS, TX
75251-3294
Practice Phone: 972-715-5000
Practice Fax: 972-715-9976
1306773296 — MAURIZZE ANN MALABANAN GIMOTEA RN
Practice Location Address:
12222 MERIT DR STE 600
DALLAS, TX
75251-3294
Practice Phone: 972-715-5000
Practice Fax: 972-715-9976

Directions to “ MALLORY NEBERGALL M.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.