Individual
JOSE MALAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 HIGHWAY 70 E, DICKSON, TN 37055-2080
(877) 749-7428
(512) 628-3314
Mailing address
1776 WOODSTEAD CT STE 208, THE WOODLANDS, TX 77380-1480
(877) 749-7428
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
66488
TN
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
66488
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q042134
—
TN
Enumeration date
06/14/2017
Last updated
11/11/2025
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