Individual
DEBRA A. MALOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6606 LBJ FWY STE 200, DALLAS, TX 75240-6524
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
105031
TX
367500000X
Certified Registered Nurse Anesthetist
457584
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158115902
—
TX
Enumeration date
02/02/2006
Last updated
07/20/2021
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