Individual
MICHAEL ROBERT MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
400 HOSPITAL DR, STE 201, CORSICANA, TX 75110-2489
(903) 641-4870
(903) 641-4877
Mailing address
400 HOSPITAL DR STE 111, CORSICANA, TX 75110-2489
(903) 641-4895
(903) 641-4894
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
L7028
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160314402
—
TX
05
—
160314403
—
TX
01
—
8W4545
BLUE CROSS
TX
Enumeration date
02/15/2006
Last updated
09/14/2020
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