Robert J Mamlok

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

H0596 Issued in TX

Legal business name

ROBERT J MAMLOK

Practice address

5424 19TH St
Suite #300
Lubbock, TX 79407-2162

Phone

(806) 795-4391

Fax

(806) 796-1354

NPI assigned

Jan 30, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Robert Jerry Mamlok, M.D.

Title

Owner

Phone

(806) 795-4391

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277078400000",
    "number": "1467599613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5424 19TH ST",
            "address_2": "SUITE #300",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794072162",
            "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 ST",
            "address_2": "SUITE #300",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794072162",
            "telephone_number": "806-795-4391",
            "fax_number": "806-796-1354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT J MAMLOK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2010-06-21",
        "status": "A",
        "authorized_official_last_name": "MAMLOK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-795-4391",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "H0596",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": "TX",
            "license": "H0596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123013801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Summer Ketron Roark, D.D.S.
• Jazzlyn Roberson
• Kerri Leanne Roberson, M.S., CCC-SLP
• Kevin Lee Roberson, M.S., CCC-SLP
• Robert F. Bloom, MD, PA
• Robert J. Coolbaugh, DC, Dba Lubbock Accident and Injury Rehab
• Robert P. Schmid, MD, PA
• Robert W Perry, Inc.
• Robert W. Buchanan DC PA
• Breanna Roberts, LMSW

• 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 Jun 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.