Organization
MALCOLM O PERRY III MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALCOLM O PERRY III MD (PRESIDENT)
(469) 854-6116
Entity
Organization
Contact information
Practice address
1111 RAINTREE CIR, SUITE 240, ALLEN, TX 75013-4901
(469) 854-6116
Mailing address
1111 RAINTREE CIR, SUITE 240, ALLEN, TX 75013-4901
(469) 854-6116
(469) 854-6399
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
J1476
TX
Other
Enumeration date
01/30/2009
Last updated
02/01/2012
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