Individual provider · Type 1 NPI

Alysan Brooke Mallery, MD

Military Health Care Provider · Fort Bliss, TX

NPI number 1083402663 Active

Practice location

18511 Highlander Medics St, Mchm-Dos-Gsr
Fort Bliss, TX 79906

Call (915) 742-0730 Map

Fax (915) 742-7889

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000XNone listed

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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About NPI 1083402663

Alysan Brooke Mallery, MD's National Provider Identifier is 1083402663, issued on Apr 25, 2025. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Fort Bliss, TX. The record was last updated on Apr 25, 2025.