Malone, Asia
Malone, Asia is an individual health care provider with primary practice located at 8317 Yaupon Holly Trl , Fort Worth TX 76123-1696. She recently has only one registered license in Other Service Providers / Driver, which is considered as her primary health care specialty. Malone, Asia can be contacted via phone (317) 500-2475.Contact Information
Primary practice address
8317 Yaupon Holly Trl
Fort Worth TX 76123-1696
Phone: (317) 500-2475
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Driver | 172A00000X | 48333024 | Texas |
Profile Details
NPI number | 1760181895 |
---|---|
LBN Legal business name | Malone, Asia |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 27th, 2023 |
Last updated | Jan 8th, 2024 - about 11 months 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1760181895 | NPPES |
Texas | MEDICAID | 92-2574972 |
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