Ponce, Mallory Sylvia

Ponce, Mallory Sylvia is an sole proprietor health care provider with primary practice located at 1116 Dove Brook Dr , Allen TX 75002-2701. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Ponce, Mallory Sylvia can be contacted via phone (972) 965-0823.

Contact Information

Primary practice address
1116 Dove Brook Dr Allen TX 75002-2701
Fax:
Website:

Health care specialties

Profile Details

NPI number 1528331303
LBN Legal business name Ponce, Mallory Sylvia
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 9th, 2012
Last updated Jan 22nd, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528331303 NPPES
Texas MEDICAID 149984001
Texas MEDICAID 207164901

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