Robert J Mamlok, M.D.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

H0596 Issued in TX

Practice address

5424 19TH Street
Suite #300
Lubbock, TX 79407-2164

Phone

(806) 795-4391

Fax

(806) 796-1354

NPI assigned

Apr 5, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: robert.mamlok@direct.myteamcare.com

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314835200000",
    "number": "1255393252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5424 19TH STREET",
            "address_2": "SUITE #300",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794072164",
            "telephone_number": "806-795-4391",
            "fax_number": "806-796-1354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5424 19TH STREET",
            "address_2": "SUITE #300",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794072164",
            "telephone_number": "806-795-4391",
            "fax_number": "806-796-1354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMLOK",
        "first_name": "ROBERT",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2011-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TX",
            "license": "H0596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123013805",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hallie Malone, MD
• Jake Roddie Malone, DDS
• Cathy Sue Malouf, MD
• Jeremy Chip Malouf, M.D.
• Mama Bear Fitness and Physical Therapy
• Viviane Mamlok, M.D.
• Mamoona Shaikh-Ahmad, MD, PA
• Managed Care Center for Addictive and Other Disorders Inc
• Managed Care Center, Inc.
• Managed Service Group

• Allergy & Immunology Physician in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Allergy & Immunology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.