Malone, Larry D

Malone, Larry D is an individual health care provider with primary practice located at 320 Russell Blvd , Nacogdoches TX 75965-1240. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Malone, Larry D can be contacted via phone (936) 569-6411.

Contact Information

Primary practice address
320 Russell Blvd Nacogdoches TX 75965-1240
Phone: (936) 569-6411
Fax: (936) 569-6446
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 601491 Texas

Profile Details

NPI number 1447244132
LBN Legal business name Malone, Larry D
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2005
Last updated Jul 9th, 2007 - about 18 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 1447244132 NPPES
Texas Other 8N3041 BCBS PROVIDER #

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