Individual
CARY G MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT DPT
Contact information
Practice address
296 MARVIN HANCOCK DR, JASPER, TX 75951-3479
(409) 384-7041
(409) 384-7064
Mailing address
296 MARVIN HANCOCK DR, JASPER, TX 75951-3479
(409) 384-7041
(409) 384-7064
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1133130
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8T2018
BLUE CROSS & BLUE SHIELD
TX
Enumeration date
06/07/2006
Last updated
06/24/2020
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