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NPI Code Detail

MEDICARE: DR. WILLIAM O'MALLEY MD

MEDICARE: DR. WILLIAM O'MALLEY MD
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
1207P00000XEmergency Medicine PhysicianJ8075TX

General Provider Information

NPI Number : 1275528002
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM O'MALLEY MD
Provider Business Mailing Address
First Line : 4023 UNIVERSITY BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77005-2711
Country : US
Telephone Number : 713-664-5890
Fax Number :
Provider Business Practice Location Address
First Line : 10655 STEEPLETOP DR
Second Line : CYPRESS FAIRBANKS ER
City : HOUSTON
State : TX
Zip : 77065-4222
Country : US
Telephone Number : 281-897-3150
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2005
Last Update Date : 10/20/2011

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Directions to “ DR. WILLIAM O'MALLEY MD” Practice Location

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